Active NPI
Rebecca Rosado, LMSW
- Social Worker
- Sayville, NY
National Provider Identifier
1851036958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111647
- Practice address
- 23 Candee Ave
Sayville, NY 11782-3055 - Phone
- (631) 629-2250
- NPI assigned
- May 3, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 111647 | NY | Primary |
Addresses
Primary practice location
23 Candee Ave
Sayville, NY 11782-3055
Mailing address
18 Potomac LN
Sayville, NY 11782-1521
Phone (631) 848-5574
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 |
|---|---|---|---|
| 111647 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suffolk Counseling Services | Multi-Specialty | Current | Accepting new patients |
Locations
23 Candee Ave
Sayville, NY 11782
Phone (631) 629-2250
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": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1851036958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 POTOMAC LN",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117821521",
"telephone_number": "631-848-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 CANDEE AVE",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117823055",
"telephone_number": "631-629-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "REBECCA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "111647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.