NICHOLAS DEAN DUBIOS-ROSE LCSW
NPI 1215540547
Social Worker - Clinical in Beloit, WI

Q: What is Nicholas Dubios-rose's NPI number?

The NPI number for Nicholas Dubios-rose is 1215540547. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Nicholas Dubios-rose's specialty?

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

Active since August 26, 2020PECOS Enrolled

540 E GRAND AVE, BELOIT, WI 53511(608) 368-8087 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2026, Aug 26, 2020 (2 updates tracked since 2020).

On this page

About Nicholas Dean Dubios-rose Lcsw NPPES

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

NICHOLAS DEAN DUBIOS-ROSE LCSW (NPI 1215540547) is an individual clinical provider in Beloit, Wisconsin, licensed in Wisconsin (11403-123) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215540547

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameNICHOLAS DEAN DUBIOS-ROSECredential: LCSW

Location Address540 E GRAND AVEBeloit, WI 53511-6314

Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004

Phone(608) 368-8087

Sole ProprietorNo

Enumeration DateAugust 26, 2020

Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1215540547 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 WI · 11403-123

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.

540 E GRAND AVE, Beloit, WI 53511

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Dean Dubios-rose Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Dubios-rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stateline Mental Health Services

Same address

Mental Health (Including Community Mental Health Center)

540 E GRAND AVE
Beloit, WI 53511

Reassigned Medicare billing, Wisconsin enrollment
34 clinicians in this Medicare group

NPI 1538560255 (608) 368-8087

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

DR. DOUGLAS EDWARD KELLEY OD

Optometrist