Individual provider Active NPI

James Stott Rosenberger, LISW-CP

  • Social Worker
  • Anderson, SC
National Provider Identifier
1811027527
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7018 Issued in SC
Practice address
110 Calvary Home Cir
Anderson, SC 29621-1002
Phone
(864) 328-5187
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7018 SC Primary

Addresses

Primary practice location

110 Calvary Home Cir
Anderson, SC 29621-1002

Mailing address

110 Calvary Home Cir
Anderson, SC 29621-1002
Phone (864) 328-5187

Other practice location 1

410 E Shockley Ferry Road
Anderson, SC 29624-3847
Phone (864) 225-6266

Other identifiers 1

IdentifierTypeStateIssuer
SW1091MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040826000061 SC Practitioner - Clinical Social Worker 4183698905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of South Carolina School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Calvary Home Cir
Anderson, SC 29621-1002
Phone (864) 328-5187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Counseling Center LLC Social Worker CurrentSince Nov 8, 2012 Accepting new patients

Locations

410 E Shockley Ferry Rd
Anderson, SC 29624
Phone (864) 225-6266

110 Calvary Home Cir
Anderson, SC 29621
Phone (864) 328-5187

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1811027527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CALVARY HOME CIR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211002",
            "telephone_number": "864-328-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALVARY HOME CIR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211002",
            "telephone_number": "864-328-5187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E Shockley Ferry Road",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296243847",
            "country_code": "US",
            "telephone_number": "864-225-6266",
            "fax_number": "864-225-6267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "JAMES",
        "middle_name": "STOTT",
        "name_prefix": "Mr.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "7018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1091",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.