Yitzchak Rosen, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73015796 Issued in NY

Practice address

3820 14TH Ave
Brooklyn, NY 11218-3610

Phone

(718) 435-8080

Fax

(718) 435-8015

NPI assigned

Jun 5, 2009

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• LCSW Evaluations and Clinical Social Work, P.C.

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1326331836
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1710113667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183610",
            "telephone_number": "718-435-8080",
            "fax_number": "718-435-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183610",
            "telephone_number": "718-435-8080",
            "fax_number": "718-435-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "YITZCHAK",
        "name_prefix": "Mr.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73015796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Gary Rosen
• Sara Rosen
• Shira Rosen, OTR/L
• Shiye Rosen
• Sidra Sutton Rosen, MSED
• Dale R Rosenbach, DMD, MS
• Brocha Rosenbaum
• Chiara Jordan Rosenbaum, DO
• Daniel Rosenbaum, M.D.
• Deborah Rosenbaum, R.D

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.