Individual provider Active NPI

Karen Beth Rosen, LCSW

  • Clinical Social Worker
  • Upper Montclair, NJ
National Provider Identifier
1811041809
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05015100 Issued in NJ
Practice address
209 Cooper Avenue
Suite 5C
Upper Montclair, NJ 07043
Phone
(973) 509-2955
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 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 44SC05015100 NJ Primary

Addresses

Primary practice location

209 Cooper Avenue
Suite 5C
Upper Montclair, NJ 07043

Mailing address

209 Cooper Avenue
Suite 5C
Upper Montclair, NJ 07043
Phone (973) 509-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110720000306 DC Practitioner - Clinical Social Worker 9537109137 Practice locations: Rockville, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6238 Montrose Rd
Rockville, MD 20852-4119
Phone (973) 715-3597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05015100NJMDClinical Social Worker
09473MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen B. Rosen, LCSW Clinical CurrentSince Jan 1, 1990 Accepting new patients
Counseling Services Past Accepting new patients

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1811041809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COOPER AVENUE",
            "address_2": "SUITE 5C",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "07043",
            "telephone_number": "973-509-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COOPER AVENUE",
            "address_2": "SUITE 5C",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "07043",
            "telephone_number": "973-509-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "KAREN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05015100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Montclair, NJ

Sources for this page

Verify at the official NPI Registry.