Individual provider Active NPI

Rosaria Vasile

  • Clinical Social Worker
  • Gaylord, MI
National Provider Identifier
1902377609
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5679 Arawak Pass
Gaylord, MI 49735-9022
Phone
(586) 337-5537
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5679 Arawak Pass
Gaylord, MI 49735-9022

Mailing address

2594 Springvale Rd
Boyne Falls, MI 49713-9684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20240711003867 MI Practitioner - Clinical Social Worker 1850836057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bear River Primary Care CurrentSince Jun 3, 2024 Accepting new patients

Locations

2329 Center St
Boyne Falls, MI 49713
Phone (231) 758-4566

2594 Springvale Rd
Boyne Falls, MI 49713
Phone (231) 535-2415

218 Water St
Cheboygan, MI 49721
Phone (231) 751-0070

1325 S Otsego Ave
Gaylord, MI 49735
Phone (989) 705-2700

1619 W M 32
Gaylord, MI 49735
Phone (231) 751-0070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21307/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1902377609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 SPRINGVALE RD",
            "city": "BOYNE FALLS",
            "state": "MI",
            "postal_code": "497139684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5679 ARAWAK PASS",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359022",
            "telephone_number": "586-337-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILE",
        "first_name": "ROSARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.