Rosa Marcela Garcia Soto, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23759 Issued in MN

Practice address

562 Bavaria LN
Chaska, MN 55318-4597

Phone

(612) 236-6799

NPI assigned

Sep 22, 2008

Last updated

Oct 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666396800000",
    "number": "1801046305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553310772",
            "telephone_number": "612-236-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 BAVARIA LN",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184597",
            "telephone_number": "612-236-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA SOTO",
        "first_name": "ROSA",
        "middle_name": "MARCELA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2022-10-22",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Donald Frerichs, DDS
• Troy Anthony Fry, MS, BCBA
• Purvi Gada, MBBS
• Lisa J Gammon, MA; LPCC
• Lisa J Ganske
• Alexandra Yared Gliadon, CNP
• Grand St Paul CVS LLC (CVS Pharmacy #16691)
• Shawn S. Gravelle, LPCC
• Meghan Suzanne Green, CPNP-PC
• Hannah Tricia Gregg, DPT

• Clinical Social Worker in Chaska, MN
• Providers in Chaska, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.