Rosanna Lynn Perry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW77549 Issued in CA

Practice address

5730 Packard Ave Ste 500
Marysville, CA 95901-7119

Phone

(530) 749-3242

NPI assigned

Dec 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peach Tree Healthcare 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: rosanna.perry.p1@direct.peachtreehealth.nextgenshare.com

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.

• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1003863622

  CA, Clinical

  Medicare reassignment Care Compare group NPD
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1245043413
  Care Compare group NPD
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Live Oak, CA
  • NPI 1316096894
  Care Compare group NPD
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Olivehurst, CA
  • NPI 1104526664
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1114643871
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1164886040
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1669152120
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Yuba City, CA
  • NPI 1841723327
  Care Compare group
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Chico, CA
  • NPI 1922598226
  Care Compare group

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1578866331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 PACKARD AVE STE 500",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959017119",
            "telephone_number": "530-749-3242",
            "fax_number": "530-749-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 PACKARD AVE STE 500",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959017119",
            "telephone_number": "530-749-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 Auburn Blvd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958414139",
            "country_code": "US",
            "telephone_number": "916-473-5764",
            "fax_number": "916-473-5766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ROSANNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW77549",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peach Tree Healthcare
• Ana Jasmin Perdomo
• Paulo Alexandro Perez, BA
• Tessa Leander Perico
• Dana Gay Perin, LPT
• Kari Renee' Peters, MFT.
• Billy Ricardo Pettross, M.D.
• Cynthia Winnifred Pettross, M.D.
• Patricia Phelan
• Natasha R Phillips, D.O.

• All providers in Marysville, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.