Mitchell J Rosenzweig

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW92225 Issued in CA

Practice address

2501 Machine St
Ste 306
Aberdeen Proving Grounds, MD 21005

Phone

(667) 441-0955

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Emjar LLC

  • Clinical Social Worker
  • Tacoma, WA
  • NPI 1780057141

  Clinical

  NPD (past) Authorized official
• Ehome Behavioral Care

  • Professional Counselor
  • Orlando, FL
  • NPI 1538609003

  Clinical

  NPD (past)
• Felton Institute

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1417222084
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1821295486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S MAIN ST",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219041726",
            "telephone_number": "667-441-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MACHINE ST",
            "address_2": "STE 306",
            "city": "ABERDEEN PROVING GROUNDS",
            "state": "MD",
            "postal_code": "21005",
            "telephone_number": "667-441-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 S Main St",
            "address_purpose": "LOCATION",
            "city": "Port Deposit",
            "state": "MD",
            "postal_code": "219041726",
            "country_code": "US",
            "telephone_number": "667-441-0955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "MITCHELL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60576429",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801060547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1650",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW92225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunland Optical Co., Inc.

• All providers in Aberdeen Proving Grounds, MD
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.