Individual provider Active NPI

Rose Cross, CSW LMSW

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1831219195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801003527 Issued in MI
Practice address
5031 Park Lake Rd
East Lansing, MI 48823-3835
Phone
(517) 332-0811
Fax
(517) 332-4452
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 6801003527 MI Primary

Addresses

Primary practice location

5031 Park Lake Rd
East Lansing, MI 48823-3835

Mailing address

5031 Park Lake Rd
East Lansing, MI 48823-3835
Phone (517) 332-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160812000108 MI Practitioner - Clinical Social Worker 1759675838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Professional Psychological ConsultantsGroup PAC ID 5193880284, 15 clinicians

Practice addresses (Care Compare)

5031 Park Lake Rd
East Lansing, MI 48823-3835
Phone (517) 332-0811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801003527MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Professional Psychological Consultants CurrentSince Aug 3, 2016 Accepting new patients
Professional Psychological and Rehabilitation Services, PC Past Accepting new patients

Locations

5031 Park Lake Rd
East Lansing, MI 48823
Phone (517) 332-0811

3815 W Saint Joseph St
Ste A101
Lansing, MI 48917
Phone (517) 321-5900

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831219195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 PARK LAKE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233835",
            "telephone_number": "517-332-0811",
            "fax_number": "517-332-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 PARK LAKE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233835",
            "telephone_number": "517-332-0811",
            "fax_number": "517-332-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "CSW LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801003527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.