Marcy S Rosenbaum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006741 Issued in VA

Practice address

319 5TH Ave
Saltville, VA 24370-3418

Phone

(276) 496-4492

Fax

(276) 496-4839

NPI assigned

Mar 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Marcy Lynn Spencer Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southwest Virginia Community Health Systems Incorporated

  • Federally Qualified Health Center (FQHC)
  • Saltville, VA
  • NPI 1811967169

  VA

  Medicare reassignment NPD
• Southwest Virginia Community Health Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Bristol, VA
  • NPI 1912720459
  NPD

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1598936627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243700729",
            "telephone_number": "276-496-4433",
            "fax_number": "276-496-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 5TH AVE",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243703418",
            "telephone_number": "276-496-4492",
            "fax_number": "276-496-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "MARCY",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010024706",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952750762",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008446",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "SPENCER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Adrena Parris-Wilkins, D.D.S.
• Lora Presley, COTA/L
• Jessica Leighann Reynolds, RN
• Donna Rigolizzo, MD
• Jamie Alley Rose, FNP-BC
• Saltville Rescue Squad Inc
• Richard George Schambach, DDS
• Teddie Joe Snodgrass, DNP, FNP-C
• Pamela McGhee Somervell, M.D.
• Southwest Virginia Community Health Systems Inc

• Clinical Social Worker in Saltville, VA
• Providers in Saltville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.