Individual provider Active NPI

Lilian Rosenbaum, LCSW C PHD

  • Clinical Social Worker
  • Chevy Chase, MD
National Provider Identifier
1760685002
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
00465 Issued in MD
Practice address
6935 Wisconsin Ave
Suite #206
Chevy Chase, MD 20815-6109
Phone
(301) 907-9664
Fax
(301) 340-8958
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 301092 DC
Clinical Social Worker 1041C0700X 00465 MD Primary

Addresses

Primary practice location

6935 Wisconsin Ave
Suite #206
Chevy Chase, MD 20815-6109

Mailing address

180 New Mark Esplanade
Rockville, MD 20850-2732
Phone (301) 907-9664

Other names 1

  • Yvonne Lilian Rosenbaum Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
301092DCMDClinical Social Worker
00465MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760685002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NEW MARK ESPLANADE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502732",
            "telephone_number": "301-907-9664",
            "fax_number": "301-340-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 WISCONSIN AVE",
            "address_2": "SUITE #206",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156109",
            "telephone_number": "301-907-9664",
            "fax_number": "301-340-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "LILIAN",
        "name_prefix": "Dr.",
        "credential": "LCSW C PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "301092",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "00465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "ROSENBAUM",
            "middle_name": "LILIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.