Individual provider Active NPI

Rosalyn A Thomas, LCSW

  • Clinical Social Worker
  • Sanford, FL
National Provider Identifier
1982890976
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 8213 Issued in FL
Practice address
401 Pecan Ave
Sanford, FL 32771-1734
Phone
(407) 323-5857
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 SW 8213 FL Primary

Addresses

Primary practice location

401 Pecan Ave
Sanford, FL 32771-1734

Mailing address

4300 W. Lake Mary Blvd
Ste 1010 #313
Lake Mary, FL 32746
Phone (407) 222-9898

Other practice location 1

400 N Ashley Dr
Ste 1900
Tampa, FL 33602-4311
Phone (813) 508-0816

Other practice location 2

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242

Other identifiers 1

IdentifierTypeStateIssuer
768595500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260515001283 CO Practitioner - Clinical Social Worker 1355772559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 8213FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery House of Central Florida, Inc Clinical CurrentSince Mar 21, 2021 Accepting new patients

Locations

401 Pecan Ave
Sanford, FL 32771
Phone (407) 323-5857

Organizations & group practices 2

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1982890976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W. LAKE MARY BLVD",
            "address_2": "STE 1010 #313",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-222-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PECAN AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711734",
            "telephone_number": "407-323-5857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N ASHLEY DR",
            "address_2": "STE 1900",
            "address_purpose": "LOCATION",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024311",
            "country_code": "US",
            "telephone_number": "813-508-0816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "fax_number": "863-491-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROSALYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768595500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.