Active NPIIndividual providerSole proprietor

Mr. Jason Rosa, LCSW

Social Worker, Clinical in Roselle, New Jersey

NPI Number1326414079
Practice location
512 Brooklawn Ave, Roselle, NJ 07203-2578
Fax
—
Last updated
June 4, 2016

Jason Rosa is a Social Worker, Clinical based in Roselle, NJ. Jason Rosa practices in Roselle, NJ and has the professional credentials of LCSW. The NPI Number for Jason Rosa is 1326414079 and holds a License No. 44SC05634600 (NJ). The current practice location address for Jason Rosa is 512 Brooklawn Ave, Roselle, NJ 07203-2578 and can be reached out via phone at 678-367-9537.

Provider Profile Details

NPI Number
1326414079
Provider Name
Jason Rosa
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
512 Brooklawn Ave, Roselle, NJ 07203-2578
Phone Number
678-367-9537
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 18, 2015
Last Update Date
June 4, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
512 Brooklawn Ave
Roselle, NJ 07203-2578
Zip
07203-2578
Phone Number
678-367-9537
Roselle, NJ 07203Get directions →

Provider Business Mailing Address Details

Address
512 Brooklawn Ave
Roselle, NJ 07203-2578
City
Roselle
State
NJ
Zip
07203-2578

License Information

License Number (1)
44SC05634600
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
CSW005272
License State (2)
GA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jason Rosa, LCSW?

The NPI number of Mr. Jason Rosa, LCSW is 1326414079. It was assigned on August 18, 2015 and is currently active in the NPPES registry.

What is the specialty of Mr. Jason Rosa, LCSW?

Mr. Jason Rosa, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05634600.

Where does Mr. Jason Rosa, LCSW practice?

The practice location is 512 Brooklawn Ave, Roselle, NJ 07203-2578. The office can be reached at 678-367-9537 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326414079 directly on the NPPES registry website.

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