Active NPI
Lisa Marie Rowe, LCSW
- Clinical Social Worker
- North Port, FL
National Provider Identifier
1477219400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.020021
- Practice address
- 2528 Hobblebrush Dr
North Port, FL 34289-4302 - Phone
- (941) 468-6148
- NPI assigned
- Nov 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW12426 | FL | |
| Clinical Social Worker | 1041C0700X | 149.020021 | IL | Primary |
Addresses
Primary practice location
2528 Hobblebrush Dr
North Port, FL 34289-4302
Mailing address
2528 Hobblebrush Dr
North Port, FL 34289-4302
Phone (941) 468-6148
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lisa@rootedtherapies.org | Direct | |
| CONNECT URL | www.rootedtherapies.org | Direct |
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 |
|---|---|---|---|
| SW12426 | FL | MD | Clinical Social Worker |
| 149.020021 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1477219400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2528 HOBBLEBRUSH DR",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342894302",
"telephone_number": "941-468-6148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 HOBBLEBRUSH DR",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342894302",
"telephone_number": "941-468-6148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-15",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12426",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.020021",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Lisa@rootedtherapies.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2528 Hobblebrush Dr",
"city": "North Port",
"state": "FL",
"country_code": "US",
"postal_code": "342894302",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.rootedtherapies.org",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2528 Hobblebrush Dr",
"city": "North Port",
"state": "FL",
"country_code": "US",
"postal_code": "342894302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.