Stephen Ian Rosen, LMFT

Individual provider Active NPI Marriage & Family Therapist · Washington, DC

NPI 1891978524 · NPPES record last updated Mar 11, 2024

Key facts

NPI
1891978524
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
000007 (DC)
Practice address
4801 Wisconsin Ave NW Unit 502
Washington, DC 20016-4641
Phone
(202) 329-4958
NPI assigned
Dec 17, 2007
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4801 Wisconsin Ave NW
Unit 502
Washington, DC 20016-4641
Phone (202) 329-4958

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250310001670 DC Practitioner - Marriage and Family Therapist 0143117978 Practice locations: Washington, DC

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
000007DCMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000007 DC Yes

Addresses

Primary practice location

4801 Wisconsin Ave NW Unit 502
Washington, DC 20016-4641

Mailing address

4801 Wisconsin Ave NW Unit 502
Washington, DC 20016-4641
Phone (202) 329-4958

Other providers in Washington, DC

All providers in Washington, DC · Marriage & Family Therapist in District of Columbia

Sources for this page

Verify at the official NPI Registry.