Active NPI
Emmanuel J Rosales, M.A., L.C.S.W.
- Clinical Social Worker
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089650
- Practice address
- 22 Tulip Cir
Valley Stream, NY 11580-1927 - Phone
- (347) 527-8779
- NPI assigned
- Feb 1, 2017
- Sex
- Male
- 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 | 089650 | NY | Primary |
Addresses
Primary practice location
22 Tulip Cir
Valley Stream, NY 11580-1927
Mailing address
22 Tulip Cir
Valley Stream, NY 11580-1927
Phone (347) 527-8779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.C. | Social Worker | Current | Accepting new patients |
| Supportive Care Psychology of Ny PC | Current | Accepting new patients | |
| Catholic Charities Neigborhood Services | Clinical | Past | Accepting new patients |
| Catholic Charities Neighborhood Services, Inc. | Past | Accepting new patients | |
| Catholic Charities Neigborhood Services | Past | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
48 Cedar St
Brooklyn, NY 11221
Phone (718) 455-6200
134 N 4th St
Brooklyn, NY 11249
7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200
170 Lake St
Liberty, NY 12754
Phone (845) 292-4200
330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500
Organizations & group practices 5
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.
-
- Community Health Clinic/Center
- Jamaica, NY
- NPI 1699310292
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
-
- Clinic/Center
- Jamaica, NY
- NPI 1780319426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1932647740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 TULIP CIR",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801927",
"telephone_number": "347-527-8779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 TULIP CIR",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801927",
"telephone_number": "347-527-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "EMMANUEL",
"middle_name": "J",
"credential": "M.A., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-01",
"last_updated": "2021-05-03",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.