Individual provider Active NPI

Rose Marie Bright, MSW, LICSW, PIP

  • Clinical Social Worker
  • Scottsboro, AL
National Provider Identifier
1841512175
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1555-1545C Issued in AL
Practice address
605 E Laurel St
Scottsboro, AL 35768-2043
Phone
(256) 999-0727
Fax
(256) 999-0729
NPI assigned
Mar 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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 1555-1545C AL Primary

Addresses

Primary practice location

605 E Laurel St
Scottsboro, AL 35768-2043

Mailing address

1026 Johnson Ave
New Hope, AL 35760-8870
Phone (256) 509-7771

Other identifiers 3

IdentifierTypeStateIssuer
511-03508OtherALBLUE CROSS BLUE SHIELD
630638946001OtherTRICARE SOUTH
511-03508OtherALBC/BS OF ALABAMA LOCATION ID

Other names 1

  • Ms. Rose Marie Bice Former name

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

LicenseStateTypeSpecialty
1555-1545CALMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1841512175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 JOHNSON AVE",
            "city": "NEW HOPE",
            "state": "AL",
            "postal_code": "357608870",
            "telephone_number": "256-509-7771",
            "fax_number": "256-999-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E LAUREL ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682043",
            "telephone_number": "256-999-0727",
            "fax_number": "256-999-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-01",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1555-1545C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "511-03508",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "630638946001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ALABAMA LOCATION ID",
            "identifier": "511-03508",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "BICE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.