Individual provider Active NPI

Susan Erdman Rosenberg, LCSW

  • Clinical Social Worker
  • Miromar Lakes, FL
National Provider Identifier
1588707749
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069921 Issued in NY
Practice address
17740 Via Bella Acqua CT Apt 402
Miromar Lakes, FL 33913-7860
Phone
(646) 512-0334
NPI assigned
Feb 15, 2007
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 069921 NY Primary

Addresses

Primary practice location

17740 Via Bella Acqua CT Apt 402
Miromar Lakes, FL 33913-7860

Mailing address

17740 Via Bella Acqua CT Apt 402
Miromar Lakes, FL 33913-7860
Phone (646) 512-0334

Other practice location 1

180 W End Ave
New York, NY 10023-4902
Phone (646) 512-0334

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
069921NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Comprehensive Health Practice Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1588707749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17740 VIA BELLA ACQUA CT APT 402",
            "city": "MIROMAR LAKES",
            "state": "FL",
            "postal_code": "339137860",
            "telephone_number": "646-512-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17740 VIA BELLA ACQUA CT APT 402",
            "city": "MIROMAR LAKES",
            "state": "FL",
            "postal_code": "339137860",
            "telephone_number": "646-512-0334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 W End Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100234902",
            "country_code": "US",
            "telephone_number": "646-512-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDMAN ROSENBERG",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miromar Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.