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MS. JEANNE MARIE ROSE LCSW-R
NPI 1295873669
Social Worker - Clinical in New York, NY

Active since February 01, 2007Opted out of Medicare · through Feb 18, 2028
304 WEST 75TH STREET, #10H, NEW YORK, NY 10023(917) 318-4359 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jeanne Marie Rose Lcsw-r NPPES

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

MS. JEANNE MARIE ROSE LCSW-R (NPI 1295873669) is an individual clinical provider in New York, New York, licensed in New York (R044264) and active in the NPI registry since February 2007. She has opted out of Medicare through February 18, 2028.

NPPES Registry Identity

NPI1295873669
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JEANNE MARIE ROSECredential: LCSW-R
Location Address304 WEST 75TH STREET, #10HNew York, NY 10023
Mailing Address304 W 75th St, Apt. 10hNew York, NY 10023-1609
Phone(917) 318-4359
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 1, 2021
✔ NPI 1295873669 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 · R044264
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.
304 WEST 75TH STREET, New York, NY 10023
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Jeanne Marie 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 February 18, 2022 through February 18, 2028.

Opt-Out Effective DateFebruary 18, 2022
Opt-Out In Effect ThroughFebruary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

EVOLVING WOMEN PSYCHOTHERAPY LCSW, PLLC
Social Worker (Clinical)
304 WEST 75TH STREET, #10H
NEW YORK, NY 10023
New York County (917) 318-4359

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 Jeanne Rose's NPI number?

The NPI number for Jeanne Rose is 1295873669. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Jeanne Rose located?

Jeanne Rose practices at 304 West 75th Street #10h, New York, NY 10023. The listed phone number is (917) 318-4359.

What is Jeanne Rose's specialty?

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

Is Jeanne Rose enrolled in Medicare?

No. Jeanne Rose has opted out of Medicare through February 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeanne Rose was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.