Rosemedwardslcsw-C, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ROSEMEDWARDSLCSW-C, LLC

Practice address

2360 W Joppa Rd Ste 229
Lutherville, MD 21093-4664

Phone

(443) 900-7145

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Rose M Edwards, LCSW-CNPI 1548214661

Title

Sole Owner, Sole Member

Phone

(443) 900-7145

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose M Edwards, LCSW-C

  • Clinical Social Worker
  • Lutherville, MD
  • NPI 1548214661
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1750993002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HOLLEN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122718",
            "telephone_number": "443-900-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD STE 229",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934664",
            "telephone_number": "443-900-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMEDWARDSLCSW-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE OWNER, SOLE MEMBER",
        "authorized_official_telephone_number": "443-900-7145",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11523570",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333369800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marci Ann Rolker, LCPC
• Rooted Integrative Psychiatry LLC
• Beebe Rose
• Eric Rose
• Jonathan Daniel Rose, DPM
• Bev Rosen, MSW
• Arthur Elihu Rosenbaum, M.D.
• Laura Marie Rosenberg, OTR/L
• Lawrence I Rosenberg, MD
• Nancy Danenberg Rosenberg

• Community/Behavioral Health Agency in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.