Individual provider Active NPI

Eleanor Gloria Rosenzweig, LCSW, MSW

  • Social Worker
  • Charlottesville, VA
National Provider Identifier
1679141428
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BBH-LCSW-LIC-4418 Issued in MT
Practice address
810 Beverley Dr Apt 305
Charlottesville, VA 22911-4607
Phone
(434) 534-1501
Fax
(505) 212-0332
NPI assigned
Jun 16, 2021
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BBH-LCSW-LIC-4418 MT Primary

Addresses

Primary practice location

810 Beverley Dr Apt 305
Charlottesville, VA 22911-4607

Mailing address

810 Beverley Dr Apt 305
Charlottesville, VA 22911-4607
Phone (434) 534-1501

Other identifiers 1

IdentifierTypeStateIssuer
BBH-LCSW-LIL-4418OtherMTLICENSE

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

LicenseStateTypeSpecialty
BBH-LCSW-LIC-4418MTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1679141428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BEVERLEY DR APT 305",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114607",
            "telephone_number": "434-534-1501",
            "fax_number": "505-212-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BEVERLEY DR APT 305",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114607",
            "telephone_number": "434-534-1501",
            "fax_number": "505-212-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "ELEANOR",
        "middle_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "BBH-LCSW-LIC-4418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "BBH-LCSW-LIL-4418",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.