Active NPI
Denise Rosas, LCSW, CADC
- Clinical Social Worker
- Inverness, IL
National Provider Identifier
1619791654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.028111
- Practice address
- 1602 W Colonial Pkwy Ste 200
Inverness, IL 60067-1215 - Phone
- (847) 364-0163
- Fax
- (847) 589-5835
- NPI assigned
- Nov 14, 2024
- Last updated
- Nov 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.028111 | IL | Primary |
Addresses
Primary practice location
1602 W Colonial Pkwy Ste 200
Inverness, IL 60067-1215
Mailing address
312 S Harvard Ave
Addison, IL 60101-3934
Phone (630) 478-5697
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.028111 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Counseling and Wellness | Clinical | Current | Accepting new patients |
Locations
1602 W Colonial Pkwy
Ste 200
Inverness, IL 60067
Phone (847) 349-0163
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.
-
- Group Psychotherapy Psychologist
- Inverness, IL
- NPI 1164009338
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1619791654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 S HARVARD AVE",
"city": "ADDISON",
"state": "IL",
"postal_code": "601013934",
"telephone_number": "630-478-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W COLONIAL PKWY STE 200",
"city": "INVERNESS",
"state": "IL",
"postal_code": "600671215",
"telephone_number": "847-364-0163",
"fax_number": "847-589-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS",
"first_name": "DENISE",
"credential": "LCSW, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.028111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.