Individual provider Active NPI

Kirsten Romness Rosenberg, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1639401037
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18661 Issued in MN
Practice address
701 Park Ave # B4
Minneapolis, MN 55415-1623
Phone
(612) 873-4352
Fax
(612) 904-4304
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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 18661 MN Primary

Addresses

Primary practice location

701 Park Ave # B4
Minneapolis, MN 55415-1623

Mailing address

2810 Yosemite Ave S
Minneapolis, MN 55416-1863
Phone (612) 716-5641

Other names 1

  • Ms. Kirsten Romness Professional name

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
18661MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Counseling L.L.C. Clinical Past Accepting new patients
Psychiatric Recovery PA PastSince Mar 24, 2016 Accepting new patients

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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1639401037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 YOSEMITE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161863",
            "telephone_number": "612-716-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE # B4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-4352",
            "fax_number": "612-904-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMNESS ROSENBERG",
        "first_name": "KIRSTEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "ROMNESS",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.