Active NPI
Kimberly M Rosen, MSW, LICSW
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1912943689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1019729
- Practice address
- 581 Boylston St
Suite 803D
Boston, MA 02116-3608 - Phone
- (617) 423-2244
- Fax
- (617) 423-2244
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 1019729 | MA | Primary |
Addresses
Primary practice location
581 Boylston St
Suite 803D
Boston, MA 02116-3608
Mailing address
581 Boylston St
Suite 803D
Boston, MA 02116-3608
Phone (617) 423-2244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Aug 5, 2019 through Aug 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1912943689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 BOYLSTON ST",
"address_2": "SUITE 803D",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163608",
"telephone_number": "617-423-2244",
"fax_number": "617-423-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 BOYLSTON ST",
"address_2": "SUITE 803D",
"city": "BOSTON",
"state": "MA",
"postal_code": "021163608",
"telephone_number": "617-423-2244",
"fax_number": "617-423-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "KIMBERLY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1019729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.