Michele Susan Rosen, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R050763-1 Issued in NY

Practice address

3265 Johnson Ave
Suite 201
Bronx, NY 10463-3539

Phone

(718) 907-3464

NPI assigned

Nov 19, 2009

Last updated

Jan 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Michele Susan Kaufman Former name

Medicare fee-for-service enrollment

Enrolled in NY, VT, ME3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michele.rosen.1@30520.direct.athenahealth.com
• Direct secure messaging: michelerosen@tdh.allscriptsdirect.net

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  ME, NY, VT

  Medicare reassignment Care Compare group NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567
  NPD

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1669700282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 HUDSON MANOR TER",
            "address_2": "APT. 10D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631137",
            "telephone_number": "718-907-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE",
            "address_2": "SUITE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "718-907-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MICHELE",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R050763-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "KAUFMAN",
            "middle_name": "SUSAN",
            "prefix": "MS.",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas Ira Rosen, MD
• Harrison Rosen, DDS
• Janis Rosen
• Jessica Rosen
• Melissa Rosen
• Orna Rosen, MD
• Zachary B Rosen, MD
• Elizabeth Anne Rosenbaum, NP
• Gila Rosenbaum
• Pearl Rosenbaum, MD

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.