Melanie Renee Roserie, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16695 Issued in MD

Practice address

194 Missile Avenue
Minot Afb - 5 MDG Mental Health Clinic
Minot, ND 58705

Phone

(701) 723-5527

NPI assigned

Dec 15, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1366771644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MISSILE AVENUE",
            "city": "MINOT AFB",
            "state": "ND",
            "postal_code": "58704",
            "telephone_number": "701-723-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 MISSILE AVENUE",
            "address_2": "MINOT AFB - 5 MDG MENTAL HEALTH CLINIC",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58705",
            "telephone_number": "701-723-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSERIE",
        "first_name": "MELANIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rose-Edwards, LMSW
• Marla R Rose, M.S.CCC
• Zachary C Rose
• McKinsey Rosendahl, PT, DPT
• Olivia Rosentreter, OTD, OTR/L
• Alicia Rae Rossow
• Jessica Leigh Rost, FNP-C
• Landon Rost, RBT
• Mylah Lil Rostad
• Lisa Marie Roteliuk, MS CCC-SLP

• Clinical Social Worker in Minot, ND
• Providers in Minot, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.