Active NPI
Abigail Maureen Rose, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1376277608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2904 W Sunset Blvd Ste 3
Los Angeles, CA 90026-7308 - Phone
- (310) 571-8807
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Social Worker | 104100000X | ASW108411 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 250359 | CA |
Addresses
Primary practice location
2904 W Sunset Blvd Ste 3
Los Angeles, CA 90026-7308
Mailing address
PO Box 29304
Los Angeles, CA 90029-0304
Phone (734) 476-8738
Other practice location 1
8945 Golf Links Rd
Oakland, CA 94605-4124
Phone (510) 317-1444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW108411 | CA | MD | Social Worker |
| 250359 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marriage and Family Therapy With Ciara Inc | Clinical | Current | Accepting new patients |
Locations
2904 W Sunset Blvd
Ste 3
Los Angeles, CA 90026
Phone (310) 571-8807
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1528937125
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1376277608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900290304",
"telephone_number": "734-476-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 W SUNSET BLVD STE 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900267308",
"telephone_number": "310-571-8807"
}
],
"practiceLocations": [
{
"address_1": "8945 Golf Links Rd",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946054124",
"country_code": "US",
"telephone_number": "510-317-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "ABIGAIL",
"middle_name": "MAUREEN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW108411",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "250359",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.