Active NPI
Jennifer Rosario, LMSW
- Clinical Social Worker
- Dickinson, ND
National Provider Identifier
1831756543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106283
- Practice address
- 448 21St St W Ste D1
Dickinson, ND 58601-2647 - Phone
- (701) 483-1000
- Fax
- (701) 483-1001
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106283 | NY | Primary |
Addresses
Primary practice location
448 21St St W Ste D1
Dickinson, ND 58601-2647
Mailing address
448 21St St W Ste D1
Dickinson, ND 58601-2647
Phone (701) 483-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190917002077 | ND | Practitioner - Clinical Social Worker | 8022347095 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106283 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions LLC | Clinical | Current | Accepting new patients |
Locations
1679 6th Ave W
Dickinson, ND 58601
Phone (701) 483-1000
448 21st St W
Ste D1
Dickinson, ND 58601
Phone (701) 483-1000
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1831756543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 21ST ST W STE D1",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586012647",
"telephone_number": "701-483-1000",
"fax_number": "701-483-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 21ST ST W STE D1",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586012647",
"telephone_number": "701-483-1000",
"fax_number": "701-483-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "JENNIFER",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "106283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.