Active NPI
Rosemarie Stauffer, LCSW
- Clinical Social Worker
- Clearwater, FL
National Provider Identifier
1881692564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 9519
- Practice address
- 901 Chestnut St
Clearwater, FL 33756-5618 - Phone
- (727) 543-0425
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 9519 | FL | Primary |
Addresses
Primary practice location
901 Chestnut St
Clearwater, FL 33756-5618
Mailing address
901 Chestnut St
Clearwater, FL 33756-5618
Phone (727) 543-0425
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945166 | Medicaid | VA | |
| 085340 | Other | VA | SENTARA/OPTIMA |
| 277427000 | Other | VA | MAGELLAN |
| 287037 | Other | VA | ANTHEM BCBS |
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 |
|---|---|---|---|
| SW 9519 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1881692564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 CHESTNUT ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565618",
"telephone_number": "727-543-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CHESTNUT ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565618",
"telephone_number": "727-543-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAUFFER",
"first_name": "ROSEMARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 9519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945166",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "085340",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "277427000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "287037",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.