Individual provider Active NPI

Jessica Roseborough, LCSW

  • Clinical Social Worker
  • Exton, PA
National Provider Identifier
1477945988
Registry record updated Feb 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013726 Issued in PA
Practice address
740 Springdale Dr
Exton, PA 19341-2880
Phone
(610) 524-0780
NPI assigned
Feb 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013726 PA Primary

Addresses

Primary practice location

740 Springdale Dr
Exton, PA 19341-2880

Mailing address

64 E Uwchlan Ave # 248
Exton, PA 19341-1203
Phone (610) 429-1001

Other names 1

  • Jessica Chapman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803000671 PA Practitioner - Clinical Social Worker 9234400623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mhmo, Inc.Group PAC ID 2163400599, 35 clinicians

Practice addresses (Care Compare)

740 Springdale Dr
Suite 102
Exton, PA 19341-2865
Phone (610) 524-0780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mhmo, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Supportive Care of Pennsylvania LLC CurrentSince Jan 15, 2025 Accepting new patients
Adoption Home Study Associates Clinical Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

740 Springdale Dr
Ste 102
Exton, PA 19341
Phone (610) 524-0780

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

523 Plymouth Rd
Ste 215
Plymouth Mtng, PA 19462
Phone (610) 825-9400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424476800000",
    "number": "1477945988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E UWCHLAN AVE # 248",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411203",
            "telephone_number": "610-429-1001",
            "fax_number": "800-871-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412880",
            "telephone_number": "610-524-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBOROUGH",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CHAPMAN",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.