Individual provider Active NPI

Karyn Rosenberg, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1497965347
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 0004549 Issued in FL
Practice address
2499 Glades Rd Ste 109
Boca Raton, FL 33431-7260
Phone
(561) 306-0232
Fax
(561) 417-9488
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 SW 0004549 FL Primary

Addresses

Primary practice location

2499 Glades Rd Ste 109
Boca Raton, FL 33431-7260

Mailing address

2499 Glades Rd Ste 109
Boca Raton, FL 33431-7260
Phone (561) 306-0232

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
SW 0004549FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karyn D Rosenberg, LCSW, PA Clinical CurrentSince Feb 23, 2000 Accepting new patients

Locations

190 W Palmetto Park Rd
Boca Raton, FL 33432
Phone (561) 306-0232

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1497965347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD STE 109",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317260",
            "telephone_number": "561-306-0232",
            "fax_number": "561-417-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD STE 109",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317260",
            "telephone_number": "561-306-0232",
            "fax_number": "561-417-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "KARYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 0004549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.