Individual provider Active NPI

Alexandra Brennan Rose, LCSW

  • Clinical Social Worker
  • Medford, MA
National Provider Identifier
1588428650
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW127761 Issued in MA
Practice address
20 Sterling St
Medford, MA 02155-5915
Phone
(203) 931-5231
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 013704 CT
Clinical Social Worker 1041C0700X LICSW127761 MA Primary

Addresses

Primary practice location

20 Sterling St
Medford, MA 02155-5915

Mailing address

593 Long Hill Rd
Guilford, CT 06437-1880
Phone (203) 931-5231

Other practice location 1

593 Long Hill Rd
Guilford, CT 06437-1880
Phone (203) 931-5231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20250528000173 MA Practitioner - Clinical Social Worker 8527587112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013704CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Story Healing Clinical CurrentSince Feb 11, 2024 Accepting new patients
Mass General Brigham Community Physicians Inc CurrentSince Jun 10, 2025 Accepting new patients
Mass General Brigham Urgent Care LLC Current Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Jun 10, 2025 Accepting new patients
Cartwheel Health Services PC Clinical Past Accepting new patients

Locations

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

Interoperability endpoints

  • Direct secure messaging: rose.alexandra.mgbcp@direct.partners.masshiway.net

Organizations & group practices 5

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1588428650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 LONG HILL RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371880",
            "telephone_number": "203-931-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 STERLING ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555915",
            "telephone_number": "203-931-5231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Long Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064371880",
            "country_code": "US",
            "telephone_number": "203-931-5231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ALEXANDRA",
        "middle_name": "BRENNAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "013704",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW127761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.