Matthew Rosado, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06025700 Issued in NJ

Practice address

169 Manhattan Ave
Jersey City, NJ 07307-3841

Phone

(201) 839-7487

NPI assigned

Sep 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dynamic Minds Therapy LLC

  • Community/Behavioral Health Agency
  • Jersey City, NJ
  • NPI 1568188704
  NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1639892417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MANHATTAN AVE APT 46",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073885",
            "telephone_number": "201-832-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MANHATTAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073841",
            "telephone_number": "201-839-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO",
        "first_name": "MATTHEW",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06025700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Filippo Romanelli, D.O.
• Cesar Ruben Roque Jr., M.D.
• George Ros
• John Daniel Rosa, DDS
• Gladys Rosado
• Elyse Ileana Rosales-Baker, LMHC
• Rosario E. Magno Int'L Staffing, Inc. (Rosario International)
• Gabrielle Catherine Rosati, PA-C
• Natalie Rosborough, DAC, MSAC
• Samantha Rose

• Clinical Social Worker in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.