Individual provider Active NPI

Adina Rosen, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1477920395
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09925804 Issued in CO
Practice address
7750 N Union Blvd Ste 202
Colorado Springs, CO 80920-4082
Phone
(719) 357-8957
NPI assigned
Aug 26, 2015
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72095453 NY
Clinical Social Worker 1041C0700X 09925804 CO Primary

Addresses

Primary practice location

7750 N Union Blvd Ste 202
Colorado Springs, CO 80920-4082

Mailing address

7750 N Union Blvd Ste 202
Colorado Springs, CO 80920-4082
Phone (719) 357-8957

Other practice location 1

248 W 108th St
New York, NY 10025-2956
Phone (212) 663-3000 ext. 1319

Other practice location 2

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5221

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
72095453NYMDSocial Worker
09925804COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1477920395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 N UNION BLVD STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204082",
            "telephone_number": "719-357-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 N UNION BLVD STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204082",
            "telephone_number": "719-357-8957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "248 W 108th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100252956",
            "country_code": "US",
            "telephone_number": "212-663-3000 x1319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "ADINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72095453",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09925804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.