Individual provider Active NPI

Brittani Rose, LCSW

  • Clinical Social Worker
  • Front Royal, VA
National Provider Identifier
1578331120
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016138 Issued in VA
Practice address
209 W Criser Rd
Front Royal, VA 22630-2360
Phone
(540) 635-4804
Fax
(540) 636-7171
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 0904016138 VA Primary

Addresses

Primary practice location

209 W Criser Rd
Front Royal, VA 22630-2360

Mailing address

209 W Criser Rd Ste 300
Front Royal, VA 22630-2360
Phone (540) 636-4250

Other practice location 1

480 W Jubal Early Dr Ste 350
Winchester, VA 22601-6450
Phone (540) 635-4804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • 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
I20240103004720 VA Practitioner - Clinical Social Worker 0840641874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Community Services Board Clinical CurrentSince Nov 29, 2023 Accepting new patients
Northwestern Community Services Board CurrentSince Dec 17, 2023 Accepting new patients

Locations

209 W Criser Rd
Ste 100
Front Royal, VA 22630
Phone (540) 636-2931

209 W Criser Rd
Front Royal, VA 22630
Phone (540) 636-2931

209 W Criser Rd
Ste 300
Front Royal, VA 22630
Phone (540) 636-4250

480 W Jubal Early Dr
Ste 350
Winchester, VA 22601
Phone (540) 635-4804

441 N Main St
Woodstock, VA 22664
Phone (540) 459-4946

Organizations & group practices 2

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1578331120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD STE 300",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360",
            "telephone_number": "540-636-4250",
            "fax_number": "540-636-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360",
            "telephone_number": "540-635-4804",
            "fax_number": "540-636-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 W Jubal Early Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226016450",
            "country_code": "US",
            "telephone_number": "540-635-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BRITTANI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.