Individual provider Active NPI

Iris A Rosen, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1790997062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044839 Issued in NY
Practice address
299 Pacific St
Brooklyn, NY 11201-6317
Phone
(212) 938-4040
Fax
(212) 938-4037
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R044839 NY Primary

Addresses

Primary practice location

299 Pacific St
Brooklyn, NY 11201-6317

Mailing address

759 President St Apt 2C
Brooklyn, NY 11215-1360
Phone (212) 938-4040

Other identifiers 1

IdentifierTypeStateIssuer
140351OtherNYPROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171020000144 NY Practitioner - Clinical Social Worker 0749556629 Practice locations: Brooklyn, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

332 E 30TH St
New York, NY 10016-8327
Phone (917) 575-6260

759 President St
Apt 2C
Brooklyn, NY 11215-1360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R044839NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Fertililty Lab Inc PastSince Dec 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790997062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 PRESIDENT ST APT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151360",
            "telephone_number": "212-938-4040",
            "fax_number": "212-938-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 PACIFIC ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016317",
            "telephone_number": "212-938-4040",
            "fax_number": "212-938-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "IRIS",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "140351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.