Victor Marcellas Rose Jr., LMSW, CASAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

096344 Issued in NY

Practice address

2400 Albany St Apt 19
Schenectady, NY 12304-3306

Phone

(347) 556-3882

NPI assigned

May 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Urban Counseling Experience LCSW PLLC

  dba Urban Community Counseling & Wellness

  • Community/Behavioral Health Agency
  • Schenectady, NY
  • NPI 1922734441
  NPD Authorized official

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

{
    "created_epoch": "1558742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1598322489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ALBANY ST APT 19",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043306",
            "telephone_number": "347-556-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ALBANY ST APT 19",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043306",
            "telephone_number": "347-556-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "VICTOR",
        "middle_name": "MARCELLAS",
        "name_suffix": "Jr.",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-25",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "28281",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Christina Romano
• Romona's Home Care Agency Inc
• Sarah Elizabeth Rosa, MS CCC-SLP
• Theresa L Rosa, LCSW
• Shari Lynne Rosato
• Linda Rosen
• Lester Y Rosenzweig, M.S., R.D., C.D.N.
• Nicole Renee Rossi, MS ED.
• Jodi Rossman
• Jessica Lee Roth, M.S. CCC-SLP

• Social Worker in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; 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.