Individual provider Active NPI

Rosalie Rapas, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1609591841
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109494 Issued in CA
Practice address
12555 W Jefferson Blvd Ste 301
Los Angeles, CA 90066-7032
Phone
(424) 443-5555
Fax
(424) 443-5550
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 109494 CA Primary

Addresses

Primary practice location

12555 W Jefferson Blvd Ste 301
Los Angeles, CA 90066-7032

Mailing address

1834 12TH St Apt 5
Manhattan Beach, CA 90266-6229

Other practice location 1

1834 12th St Apt 5
Manhattan Beach, CA 90266-6229
Phone (424) 398-6689

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230224001113 CA Practitioner - Clinical Social Worker 5991178857 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109494CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Feb 1, 2023 Accepting new patients
Bassi Psychological Services Inc Clinical CurrentSince Oct 20, 2025 Accepting new patients

Locations

2200 Pacific Coast Hwy
Ste 302
Hermosa Beach, CA 90254
Phone (310) 377-3873

12555 W Jefferson Blvd
#301
Los Angeles, CA 90066
Phone (424) 443-5555

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Organizations & group practices 2

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1609591841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 12TH ST APT 5",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W JEFFERSON BLVD STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667032",
            "telephone_number": "424-443-5555",
            "fax_number": "424-443-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1834 12th St Apt 5",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902666229",
            "country_code": "US",
            "telephone_number": "424-398-6689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPAS",
        "first_name": "ROSALIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.