Individual provider Active NPI

Claire Rosenberg, LICSW

  • Clinical Social Worker
  • Great Barrington, MA
National Provider Identifier
1730293069
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1024580 Issued in MA
Practice address
244 Main St
Suite 4
Great Barrington, MA 01230-1984
Phone
(413) 528-0700
Fax
(413) 528-0700
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1024580 MA Primary

Addresses

Primary practice location

244 Main St
Suite 4
Great Barrington, MA 01230-1984

Mailing address

244 Main St
Suite 4
Great Barrington, MA 01230-1984
Phone (413) 528-0700

Other identifiers 1

IdentifierTypeStateIssuer
P08045OtherMABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 8, 2023 through Aug 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1024580MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730293069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MAIN ST",
            "address_2": "SUITE 4",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301984",
            "telephone_number": "413-528-0700",
            "fax_number": "413-528-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 MAIN ST",
            "address_2": "SUITE 4",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301984",
            "telephone_number": "413-528-0700",
            "fax_number": "413-528-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "CLAIRE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1024580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P08045",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

Verify at the official NPI Registry.