Mitchell Rosenwald, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8805 Issued in FL

Practice address

1353 NE 34TH St
Oakland Park, FL 33334-4535

Phone

(954) 253-5641

NPI assigned

Jun 12, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1760166730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 NE 34TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344535",
            "telephone_number": "954-253-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 NE 34TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344535",
            "telephone_number": "954-253-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENWALD",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "8805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Adriana Rojas
• Sandra Romain, MD
• John Romano
• Lisnet Rosell Herrada
• Ivan Stewart Rosenthal, OD
• Jennifer Lyn Rosidor
• Daryl Jon Roy, DMD
• Royal Grace DME LLC
• Royal Palm Beach Rehab Corp (Action Physical Therapy)
• Royal Palm Beach Rehab, Corp (Action Physical Therapy)

• Clinical Social Worker in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.