Active NPI
Lillian Rosado, LMSW
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1922508308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9687
- Practice address
- 1577 Calle Naira
Comunidad Punta Diamante
Ponce, PR 00728 - Phone
- (787) 319-9066
- NPI assigned
- Feb 13, 2018
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Psychoanalyst | 102L00000X | |||
| Forensic Psychologist | 103TF0200X | |||
| School Social Worker | 1041S0200X | 9687 | PR | |
| Military Health Care Provider | 171000000X | 9687 | PR | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Health Educator | 174H00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Prevention Professional | 405300000X | 9687 | PR | |
| Clinical Social Worker | 1041C0700X | 9687 | PR | Primary |
Addresses
Primary practice location
1577 Calle Naira
Comunidad Punta Diamante
Ponce, PR 00728
Mailing address
1577 Calle Naira
Comunidad Punta Diamante
Ponce, PR 00728
Phone (787) 319-9066
Other names 1
- Mrs. Lillian Rosado Roche
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211111000527 | PR | Practitioner - Clinical Social Worker | 1557750668 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9687 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1922508308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 CALLE NAIRA",
"address_2": "COMUNIDAD PUNTA DIAMANTE",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-319-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 CALLE NAIRA",
"address_2": "COMUNIDAD PUNTA DIAMANTE",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-319-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "LILLIAN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-13",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "PR",
"license": "9687",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "PR",
"license": "9687",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "PR",
"license": "9687",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "9687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILLIAN",
"last_name": "ROSADO ROCHE",
"prefix": "MRS.",
"credential": "LCDA. LILLIAN ROSADO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.