Richard Roselli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008047 Issued in VA

Practice address

10306 Eaton PL Ste 300
Fairfax, VA 22030-2201

Phone

(703) 634-3080

Fax

(703) 997-7220

NPI assigned

Aug 25, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA, FL3 enrollments

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 3

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 and National Provider Directory roles.

• Roselli Counseling & Coaching Services, PLLC

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1962088534

  DC, FL

  Medicare reassignment NPD Authorized official
• A & B Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1508327628
  Medicare reassignment NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  Clinical, DC, VA

  Medicare reassignment NPD
• A & B Counseling LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
  • NPI 1316400203
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1871873554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 N CONGRESS AVE APT 32",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268644",
            "telephone_number": "703-634-3080",
            "fax_number": "703-997-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "703-634-3080",
            "fax_number": "703-997-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 N Congress Ave Apt 32",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268644",
            "country_code": "US",
            "telephone_number": "703-634-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSELLI",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008047",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Marie Rose, MSW
• Elizabeth Brandi Adair Rosebrock, MA, CAS
• Rebecca Sue Roselle, CNS
• Russell Thomas Roselle, CHIROPRACTOR DC
• Roselli Counseling & Coaching Services, PLLC
• Laurie Lerner Rosen, L.C.S.W.
• Michelle A Rosen, NP
• Rachel Dana Rosenbaum-Khitrik, M.D.
• Brooke Rosenblatt, MOT OTR/L
• Jessica Rosenblatt, CCC-SLP

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.