Rosanne Collins Moores, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1031718 Issued in MA

Practice address

500 Lynnfield St
Lynn, MA 01904-1424

Phone

(781) 477-3932

Fax

(781) 477-3930

NPI assigned

Sep 13, 2006

Last updated

Sep 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rosanne M Collins Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

North Shore Medical Center, Inc.Group PAC ID 3274427570, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore Medical Center, Inc.

  dba Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Medicare reassignment Care Compare group NPD
• Commonwealth Pathology Partners, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Salem, MA
  • NPI 1114032976
  NPD
• North Shore Medical Center, Inc.

  dba Salem Hospital

  • Psychiatric Hospital Unit
  • Salem, MA
  • NPI 1417972647
  NPD
• Mark Deyab Licsw Inc

  • Clinical Social Worker
  • Melrose, MA
  • NPI 1750715108
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1841395365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST FOSTER ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-665-0021",
            "fax_number": "781-665-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041424",
            "telephone_number": "781-477-3932",
            "fax_number": "781-477-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS MOORES",
        "first_name": "ROSANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891359",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "103171",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSANNE",
            "last_name": "COLLINS",
            "middle_name": "M",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martha Williams Coles
• Cara Colgate, LICSW
• Maylene Victoria Collado-Wulff, LICSW
• Kathleen Collard, FNP-BC
• Deborah S Collier, MD
• Logan Collins
• Shandalee Colon
• Jesse Comanda
• Kathleen Comeau, NP
• Comfort at Home Health Care Services LLC

• Clinical Social Worker in Lynn, MA
• Providers in Lynn, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.