PAULINE ROSE LCSW-R
NPI 1093287195
Social Worker - Clinical in Brooklyn, NY

Active since December 30, 2018Opted out of Medicare · through Mar 15, 2027
858 E 29TH ST, BROOKLYN, NY 11210(718) 859-4500 Get Directions Write a Review

NPPES record last updated: December 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pauline Rose Lcsw-r NPPES

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

PAULINE ROSE LCSW-R (NPI 1093287195) is an individual clinical provider in Brooklyn, New York, licensed in New York (045329-R) and active in the NPI registry since December 2018. She has opted out of Medicare through March 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093287195
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePAULINE ROSECredential: LCSW-R
Location Address858 E 29TH STBrooklyn, NY 11210-2927
Mailing Address858 E 29th StBrooklyn, NY 11210-2927 · (718) 859-4500
Sole ProprietorYes
Enumeration DateDecember 30, 2018
NPI 1093287195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 045329-R
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
858 E 29TH ST, Brooklyn, NY 11210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Pauline Rose Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2019 through March 15, 2027.

Opt-Out Effective DateMarch 15, 2019
Opt-Out In Effect ThroughMarch 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Specialist
858 E 29TH ST
BROOKLYN, NY 11210
Behavior Analyst
858 E 29TH ST
BROOKLYN, NY 11210
Counselor
858 E 29TH ST
BROOKLYN, NY 11210
Social Worker
858 E 29TH ST
BROOKLYN, NY 11210
Registered Nurse
858 E 29TH ST
BROOKLYN, NY 11210
Pediatrics
858 E 29TH ST
BROOKLYN, NY 11210
Community/Behavioral Health
858 E 29TH ST
BROOKLYN, NY 11210
Behavior Analyst
858 E 29TH ST
BROOKLYN, NY 11210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pauline Rose's NPI number?

The NPI number for Pauline Rose is 1093287195. It was assigned to this individual provider in the NPPES registry on December 30, 2018.

Where is Pauline Rose located?

Pauline Rose practices at 858 E 29th St, Brooklyn, NY 11210. The listed phone number is (718) 859-4500.

What is Pauline Rose's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Pauline Rose enrolled in Medicare?

No. Pauline Rose has opted out of Medicare through March 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Pauline Rose was last updated on December 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.