Kelvin Javier Rosa, MCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20454 Issued in PR

Practice address

Urb. Brisas del Mar
Isabela, PR 00662

Phone

(787) 462-1197

NPI assigned

Aug 7, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487179941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1781",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006051781",
            "telephone_number": "787-462-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. BRISAS DEL MAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-462-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "KELVIN",
        "middle_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "MCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "20454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1197",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernando Jose Romero Feliciano, MD
• Joselito Romero Lopez, MD
• Carolyne Yaret Romero Rodriguez, RDN,LND,MHSN
• Lorna M Romero, BSNRN
• Luis R. Romero, M.D.
• Cristian Rosado Montalvo, PSYD
• Brenda Rosado Rodriguez
• Elizabeth Rosado
• Milagros Rosado
• Rosali Rosario Cajigas, RN BSN

• Clinical Social Worker in Isabela, PR
• Providers in Isabela, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.