Active NPI
Erica Rosen-McGinnis, LCSW
- Clinical Social Worker
- Wildwood, MO
National Provider Identifier
1396153417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2012031015
- Practice address
- 2638 Highway 109
Suite 102
Wildwood, MO 63040-1182 - Phone
- (314) 338-3387
- NPI assigned
- Aug 1, 2014
- Last updated
- Aug 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2012031015 | MO | Primary |
Addresses
Primary practice location
2638 Highway 109
Suite 102
Wildwood, MO 63040-1182
Mailing address
1976 Still Creek Pass
Wildwood, MO 63011-4815
Phone (561) 445-0086
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 10, 2021 through May 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012031015 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1396153417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 STILL CREEK PASS",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630114815",
"telephone_number": "561-445-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2638 HIGHWAY 109",
"address_2": "SUITE 102",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630401182",
"telephone_number": "314-338-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN-MCGINNIS",
"first_name": "ERICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-01",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2012031015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.