Judith E Rosenbaum, M.S.W., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1021844 Issued in MA

Practice address

30 Summer St
Melrose, MA 02176-4610

Phone

(781) 665-6029

NPI assigned

Jan 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230940800000",
    "number": "1427294057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SUMMER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764610",
            "telephone_number": "781-665-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SUMMER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021764610",
            "telephone_number": "781-665-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "JUDITH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "M.S.W., LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-03",
        "last_updated": "2009-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021844",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "207009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA LEGACY NUMBER",
            "identifier": "70010000P08612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Scott Michael Ruland, MT-BC
• Elisabeth-Anne Robinson Russ, M.S. CCC. SLP

• Clinical Social Worker in Melrose, MA
• Providers in Melrose, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.