Laurie Lerner Rosen, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002946 Issued in VA

Practice address

10470 Armstrong St
Counseling Center of Fairfax
Fairfax, VA 22030-3648

Phone

(703) 239-2600

Fax

(703) 385-7578

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568558450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10609 BATTALION LANDING CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152517",
            "telephone_number": "703-321-0098",
            "fax_number": "703-239-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 ARMSTRONG ST",
            "address_2": "COUNSELING CENTER OF FAIRFAX",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303648",
            "telephone_number": "703-239-2600",
            "fax_number": "703-385-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "LAURIE",
        "middle_name": "LERNER",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Brandi Adair Rosebrock, MA, CAS
• Rebecca Sue Roselle, CNS
• Russell Thomas Roselle, CHIROPRACTOR DC
• Roselli Counseling & Coaching Services, PLLC
• Richard Roselli, LCSW
• Michelle A Rosen, NP
• Rachel Dana Rosenbaum-Khitrik, M.D.
• Brooke Rosenblatt, MOT OTR/L
• Jessica Rosenblatt, CCC-SLP
• Stephen Mark Rosenblatt

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.