Individual provider Active NPI

Jenna Courtney Rosenau, LCSW

  • Clinical Social Worker
  • Fort Washington, PA
National Provider Identifier
1366997223
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019711 Issued in PA
Practice address
500 Office Center Dr Ste 400
Fort Washington, PA 19034-3234
Phone
(484) 416-0612
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW019711 PA Primary
Social Worker 104100000X SW130337 PA

Addresses

Primary practice location

500 Office Center Dr Ste 400
Fort Washington, PA 19034-3234

Mailing address

500 Office Center Dr Ste 400
Fort Washington, PA 19034-3234
Phone (484) 416-0612

Other practice location 1

560 Baeder Rd
Jenkintown, PA 19046-1554
Phone (215) 205-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 21, 2024 through May 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW130337PAMDSocial Worker
CW019711PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity for Change Clinical CurrentSince Jun 1, 2024 Accepting new patients
A Better Life Therapy LLC PastSince Jan 21, 2024 Accepting new patients

Locations

500 Office Center Dr
Ste 400
Ft Washington, PA 19034
Phone (267) 513-1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1366997223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OFFICE CENTER DR STE 400",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343234",
            "telephone_number": "484-416-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OFFICE CENTER DR STE 400",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343234",
            "telephone_number": "484-416-0612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Baeder Rd",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190461554",
            "country_code": "US",
            "telephone_number": "215-205-3273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENAU",
        "first_name": "JENNA",
        "middle_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019711",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

Verify at the official NPI Registry.