Active NPI
Kiara Rossborough, LICSW
- Clinical Social Worker
- Needham, MA
National Provider Identifier
1972095123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW126190
- Practice address
- 175 Highland Ave Ste 308
Needham, MA 02494-3034 - Phone
- (781) 551-0999
- NPI assigned
- Jun 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1326155458
MA
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
-
- Clinical Medical Laboratory
- Boston, MA
- NPI 1053463448
-
- Clinical Medical Laboratory
- Jamaica Plain, MA
- NPI 1093856965
-
- Psychiatric Hospital
- Fall River, MA
- NPI 1194803288
-
- Psychiatry Physician
- Worcester, MA
- NPI 1275680456
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1285759464
-
- Psychiatric Hospital
- Worcester, MA
- NPI 1306903042
-
- Public Health or Welfare Agency
- Chelsea, MA
- NPI 1477643658
-
- Public Health or Welfare Agency
- Boston, MA
- NPI 1528656675
-
- Long Term Care Hospital
- Jamaica Plain, MA
- NPI 1568532273
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boston, MA
- NPI 1568587913
-
- Psychiatric Hospital
- Fall River, MA
- NPI 1700964947
-
- Psychiatric Hospital
- Pocasset, MA
- NPI 1851477491
-
- Long Term Care Hospital
- Tewksbury, MA
- NPI 1871680496
-
- Psychiatric Hospital
- Taunton, MA
- NPI 1922101724
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Commonwealth of Massachusetts
Practice addresses (Care Compare)
165 Quincy St
Brockton, MA 02302-2988
Phone (508) 897-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129000761 | MA | Practitioner - Clinical Social Worker | 8527416726 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW126190 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients |
Locations
165 Quincy St
Brockton, MA 02302
Phone (508) 897-2000
40 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 732-3000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW126190 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
175 Highland Ave Ste 308
Needham, MA 02494-3034
Mailing address
21 College Pond Rd
Plymouth, MA 02360-3104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 22, 2023.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1972095123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 COLLEGE POND RD",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023603104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HIGHLAND AVE STE 308",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024943034",
"telephone_number": "781-551-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSBOROUGH",
"first_name": "KIARA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-04",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LICSW126190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.