Kristin Lynne Rosales, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089361 Issued in MI

Practice address

1903 Wilkins St
Detroit, MI 48207-2112

Phone

(313) 833-1100

NPI assigned

Mar 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Henry Ford Health System

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1891702833
  NPD (past)
• Henry Ford Health System-School Based Health Initiative

  • Professional Counselor
  • Detroit, MI
  • NPI 1104010578

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1952642282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 WILKINS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072112",
            "telephone_number": "313-833-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 WILKINS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072112",
            "telephone_number": "313-833-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15959 Hall Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480445365",
            "country_code": "US",
            "telephone_number": "586-416-6290",
            "fax_number": "586-416-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "KRISTIN",
        "middle_name": "LYNNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KROSALES475440@DIRECT.BEAUMONT.EDU",
            "affiliation": "N",
            "address_1": "15959 Hall Rd Ste 410",
            "city": "Macomb",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480445365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lily Ropeta, C.S.W.
• Jennifer Modina Roque, CRNA
• Audrya Joi Roquemore, LLBSW,MSW.QIDP
• Rosa Park Medical Pharmacy LLC
• Roxanne Rosado
• Marcie Rachell Rosario, RRT
• Kritzia M. Rosas-Feliciano, LMSW
• Aydee Rosas, M.A.
• Michael Steven Roscoe
• Rose Pediatric PC

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.