Active NPI
Suzannah Rosenberg, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1831897099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 022206
- Practice address
- 2311 Cottman Ave Ste 71
Philadelphia, PA 19149-1007 - Phone
- (215) 444-7505
- Fax
- (215) 695-2919
- NPI assigned
- Feb 17, 2023
- 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 | 022206 | PA | Primary |
Addresses
Primary practice location
2311 Cottman Ave Ste 71
Philadelphia, PA 19149-1007
Mailing address
5219 Morris St
Philadelphia, PA 19144-4003
Phone (269) 271-5852
Other practice location 1
5219 Morris St
Philadelphia, PA 19144-4003
Phone (269) 271-5852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022206 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - PA Physicians Group, PC | Clinical | Past | Accepting new patients |
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": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1831897099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 MORRIS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444003",
"telephone_number": "269-271-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 COTTMAN AVE STE 71",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491007",
"telephone_number": "215-444-7505",
"fax_number": "215-695-2919"
}
],
"practiceLocations": [
{
"address_1": "5219 Morris St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191444003",
"country_code": "US",
"telephone_number": "269-271-5852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENBERG",
"first_name": "SUZANNAH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-17",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "022206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.