Organization Active NPI

Susan J. Rosen Wolfson LLC

  • Community/Behavioral Health Agency
  • Bradenton, FL
National Provider Identifier
1386829695
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW5613 Issued in FL
Legal business name
SUSAN J. ROSEN WOLFSON LLC
Practice address
3657 Cortez Rd W
Suite 130
Bradenton, FL 34210-3106
Phone
(941) 962-0577
NPI assigned
Jan 4, 2008
Last updated
Jan 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Susan Wolfson, LCSW
Title
Clinical Social Worker
Phone
(941) 962-0577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW5613 FL Primary

Addresses

Primary practice location

3657 Cortez Rd W
Suite 130
Bradenton, FL 34210-3106

Mailing address

7321 Loblolly Bay TRL
Lakewood Ranch, FL 34202-4169
Phone (941) 962-0577

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1386829695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 LOBLOLLY BAY TRL",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024169",
            "telephone_number": "941-962-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 CORTEZ RD W",
            "address_2": "SUITE 130",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103106",
            "telephone_number": "941-962-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J. ROSEN WOLFSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "941-962-0577",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW5613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.