Aaron Rosenbaum Licensed Clinical Social Worker P C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AARON ROSENBAUM LICENSED CLINICAL SOCIAL WORKER P C

Practice address

381 Kenmore Ave
Buffalo, NY 14223-2861

Phone

(716) 361-6792

NPI assigned

Aug 30, 2019

Organization subpart

No

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

Authorized official

Name

Aaron J Rosenbaum, LCSW-R

Title

Owner

Phone

(716) 361-6792

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1760030969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232861",
            "telephone_number": "716-361-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232861",
            "telephone_number": "716-361-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON ROSENBAUM LICENSED CLINICAL SOCIAL WORKER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-361-6792",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BUFFALO",
            "affiliation": "N",
            "address_1": "381 Kenmore Ave",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142232861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.