Active NPI
Samuel Rosario, LICSW
- Clinical Social Worker
- Peterborough, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 324
- Practice address
- 458 Old Street Rd
Suite 202
Peterborough, NH 03458-1265 - Phone
- (603) 924-9490
- NPI assigned
- Nov 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 324 | NH | Primary |
Addresses
Primary practice location
458 Old Street Rd
Suite 202
Peterborough, NH 03458-1265
Mailing address
458 Old Street Rd
Suite 202
Peterborough, NH 03458-1265
Phone (603) 924-9490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RE161402 | Other | NH | MEDICARE PTAN |
| 30426923 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
130 Water St
Suite 4
Fitchburg, MA 01420-5478
Phone (978) 878-8110
175 Connors St
Gardner, MA 01440-2637
Phone (978) 410-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Community Health Connections, Inc. | Current | Accepting new patients | |
| Monadnock Family Services | Past | Accepting new patients | |
| Monadnock Community Hospital | Past | Accepting new patients |
Locations
130 Water St
Ste 4
Fitchburg, MA 01420
Phone (978) 868-9944
326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270
175 Connors St
Gardner, MA 01440
Phone (978) 410-6100
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Fitchburg, MA
- NPI 1477580827
-
- Social Worker
- Laconia, NH
- NPI 1144889130
-
- Federally Qualified Health Center (FQHC)
- Leominster, MA
- NPI 1205566106
-
- Federally Qualified Health Center (FQHC)
- Gardner, MA
- NPI 1225742174
-
- Emergency Medical Services (Emergency Medicine) Physician
- Peterborough, NH
- NPI 1598710618
-
- Community/Behavioral Health Agency
- Keene, NH
- NPI 1649331224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1962682591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 OLD STREET RD",
"address_2": "SUITE 202",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581265",
"telephone_number": "603-924-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 OLD STREET RD",
"address_2": "SUITE 202",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581265",
"telephone_number": "603-924-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-12",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "RE161402",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30426923",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.