Active NPI
Kiley Roselli
- School Social Worker
- Rochester, NY
National Provider Identifier
1831974815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 118682
- Practice address
- 940 Fernwood Park
Rochester, NY 14609-2639 - Phone
- (585) 713-7364
- NPI assigned
- Aug 29, 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 118682 | NY | Primary |
Addresses
Primary practice location
940 Fernwood Park
Rochester, NY 14609-2639
Mailing address
959 S Lincoln Rd
East Rochester, NY 14445-1642
Phone (585) 713-7364
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118682 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1831974815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 S LINCOLN RD",
"city": "EAST ROCHESTER",
"state": "NY",
"postal_code": "144451642",
"telephone_number": "585-713-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 FERNWOOD PARK",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146092639",
"telephone_number": "585-713-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSELLI",
"first_name": "KILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "118682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.