Individual provider Active NPI

Elaine Bell Rossen, LCSW

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1992902175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MA202406 Issued in MA
Practice address
57 Highland Ave
4TH Floor
Salem, MA 01970-2141
Phone
(978) 354-2700
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

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 MA202406 MA Primary

Addresses

Primary practice location

57 Highland Ave
4TH Floor
Salem, MA 01970-2141

Mailing address

40R Highland Ave
Apartment 510
Salem, MA 01970-2152
Phone (978) 744-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA202406MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992902175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40R HIGHLAND AVE",
            "address_2": "APARTMENT 510",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702152",
            "telephone_number": "978-744-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 HIGHLAND AVE",
            "address_2": "4TH FLOOR",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702141",
            "telephone_number": "978-354-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSEN",
        "first_name": "ELAINE",
        "middle_name": "BELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "MA202406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.