Individual provider Active NPI

Jennifer Rosario, LMSW

  • Clinical Social Worker
  • Dickinson, ND
National Provider Identifier
1831756543
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106283 Issued in NY
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

Updated by the provider on May 29, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917002077 ND Practitioner - Clinical Social Worker 8022347095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106283NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC Clinical CurrentSince Jul 17, 2019 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

Verify at the official NPI Registry.