Individual provider Active NPI

Ellen Rosenzweig-Goldman, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1962551796
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0185221 Issued in NY
Practice address
920 Winton Rd S
Rochester, NY 14618-1634
Phone
(585) 271-6477
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR0185221 NY Primary

Addresses

Primary practice location

920 Winton Rd S
Rochester, NY 14618-1634

Mailing address

920 Winton Rd S
Rochester, NY 14618-1634
Phone (585) 271-6477

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000333 NY Practitioner - Clinical Social Worker 4284894734 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 Winton Rd S
Suite a
Rochester, NY 14618-1634
Phone (585) 746-4685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0185221NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle McPherson Therapy LCSW PLLC Past Accepting new patients

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962551796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181634",
            "telephone_number": "585-271-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181634",
            "telephone_number": "585-271-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG-GOLDMAN",
        "first_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0185221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.