Individual provider Active NPI

Rosangela Alicea, LCSW

  • Clinical Social Worker
  • Newburgh, NY
National Provider Identifier
1750653077
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086499 Issued in NY
Practice address
141 Broadway
Newburgh, NY 12550-6204
Phone
(845) 568-5260
Fax
(845) 568-5213
NPI assigned
Feb 1, 2012
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091620 NY
Clinical Social Worker 1041C0700X 086499 NY Primary

Addresses

Primary practice location

141 Broadway
Newburgh, NY 12550-6204

Mailing address

49 Scotchtown PL
Middletown, NY 10941-1411
Phone (466) 244-3811

Other practice location 1

321 S William St
Newburgh, NY 12550-5318
Phone (646) 244-3811

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
091620NYMDSocial Worker
086499NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1750653077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SCOTCHTOWN PL",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411411",
            "telephone_number": "466-244-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BROADWAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506204",
            "telephone_number": "845-568-5260",
            "fax_number": "845-568-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 S William St",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125505318",
            "country_code": "US",
            "telephone_number": "646-244-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "ROSANGELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091620",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.