MIRACLE ROSE LMSW
NPI 1023606001
Social Worker in Rosedale, MD

Q: What is Miracle Rose's NPI number?

The NPI number for Miracle Rose is 1023606001. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Q: What is Miracle Rose's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Miracle Rose was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 06, 2021PECOS Enrolled

9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237(410) 780-5203(410) 780-5205 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2021, Jan 6, 2021 (2 updates tracked since 2021).

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About Miracle Rose Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE ROSE LMSW (NPI 1023606001) is an individual social worker in Rosedale, Maryland, licensed in Maryland (23574) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023606001

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMIRACLE ROSECredential: LMSW

Location Address9627 PHILADELPHIA RD STE 160Rosedale, MD 21237-4157

Mailing Address9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157 · (410) 780-5203 · Fax (410) 780-5205

Phone(410) 780-5203

Fax(410) 780-5205

Sole ProprietorNo

Enumeration DateJanuary 6, 2021

Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2021

✔ NPI 1023606001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MD · 23574

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 23574 (MD)

9627 PHILADELPHIA RD STE 160, Rosedale, MD 21237

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miracle Rose Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONNETTE MCPHERSON

Counselor (Mental Health)