Caryn Nidelman-Rosen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 10218 Issued in CA

Practice address

6419 Gadwall CT
Carlsbad, CA 92011-2784

Phone

(760) 431-0456

NPI assigned

Dec 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth Supportive Medical Specialists a Medical CorporationGroup PAC ID 3971880055, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Elizabeth Supportive Medical Specialists, a Medical Corporation

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Escondido, CA
  • NPI 1154861979
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322956800000",
    "number": "1861760902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 GADWALL CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920112784",
            "telephone_number": "760-431-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 GADWALL CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920112784",
            "telephone_number": "760-431-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDELMAN-ROSEN",
        "first_name": "CARYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-04",
        "last_updated": "2011-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 10218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xuan-Mai Nguyen
• Minh Nhan
• Patricia Anne Nicholls, MSW
• Katharine Rose Cabrini Nicklay
• Natale Nicolulis
• Lars Nielsen, L.AC.
• Stephanie Nieto
• Tara Michelle Nimry, LCSW
• Claudia Mayurika Nirmal
• Karen Nishimura, OT

• Clinical Social Worker in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; 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.