Maureen Rosen-Raynes, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100785 Issued in MA

Practice address

15 Carlton St
Brookline, MA 02446-5601

Phone

(617) 277-7053

Fax

(617) 390-1584

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 16, 2023 through May 16, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anthony E. Raynes, M.D., PC

  • Psychiatry Physician
  • Brookline, MA
  • NPI 1104019249
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962560854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CARLTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465601",
            "telephone_number": "617-277-7053",
            "fax_number": "617-390-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CARLTON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465601",
            "telephone_number": "617-277-7053",
            "fax_number": "617-390-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN-RAYNES",
        "first_name": "MAUREEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine E Rooney, MSN
• Rooted Dental Company PLLC
• Roots Midwifery LLC
• Carly Bernstein Rose, PA-C
• Debra S. Rose, MSW, LICSW
• Beth Ellen Rosen
• Karen Rosen, PHD
• Luba P Rosen, M.D.
• Lee Robert Rosenbaum, M.D.
• Alyssa Brooke Rosenberg, M.A., CCC-SLP

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.