Organization Active NPI

Carrie Rosen LCSW LLC

  • Community/Behavioral Health Agency
  • West Haven, UT
National Provider Identifier
1821864612
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARRIE ROSEN LCSW LLC
Practice address
2471 W 1675 S
West Haven, UT 84401-6766
Phone
(808) 226-9546
NPI assigned
Dec 1, 2023
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Carrie Rosen, LCSWNPI 1861635021
Title
Owner
Phone
(808) 226-9546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2471 W 1675 S
West Haven, UT 84401-6766

Mailing address

2471 W 1675 S
West Haven, UT 84401-6766
Phone (808) 226-9546

Other practice location 1

91-1394 Keoneula Blvd
Ewa Beach, HI 96706-6475
Phone (808) 226-9546

Other identifiers 1

IdentifierTypeStateIssuer
20190826359681MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240430002217 UT Part B Supplier - Clinic/Group Practice 4688014293 Receives reassigned benefits from 1 practitioner
Practice locations: West Haven, UT
O20240809001599 HI Part B Supplier - Clinic/Group Practice 4688014293 Receives reassigned benefits from 1 practitioner
Practice locations: Ewa Beach, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1821864612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 W 1675 S",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016766",
            "telephone_number": "808-226-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 W 1675 S",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016766",
            "telephone_number": "808-226-9546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-1394 Keoneula Blvd",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967066475",
            "country_code": "US",
            "telephone_number": "808-226-9546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARRIE ROSEN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-226-9546",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20190826359681",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.