MS. LUCILLE AMIS-ROSARIO MSW, LICSW
NPI 1518205681
Social Worker - Clinical in Shoreview, MN

Q: What is Lucille Amis-rosario's NPI number?

The NPI number for Lucille Amis-rosario is 1518205681. It was assigned to this individual provider in the NPPES registry on January 24, 2013.

Q: What is Lucille Amis-rosario's specialty?

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

Active since January 24, 2013PECOS Enrolled

3490 LEXINGTON AVE N STE 205, SHOREVIEW, MN 55126(651) 486-3808(651) 486-3858 Get Directions Write a Review

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

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About Ms. Lucille Amis-rosario Msw, Licsw NPPES

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

MS. LUCILLE AMIS-ROSARIO MSW, LICSW (NPI 1518205681) is an individual clinical provider in Shoreview, Minnesota, licensed in Minnesota (21811) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1518205681

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. LUCILLE AMIS-ROSARIOCredential: MSW, LICSW

Location Address3490 LEXINGTON AVE N STE 205Shoreview, MN 55126-8044

Mailing Address3490 Lexington Ave N Ste 205Shoreview, MN 55126-8044 · (651) 486-3808 · Fax (651) 486-3858

Phone(651) 486-3808

Fax(651) 486-3858

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJanuary 24, 2013

Last NPPES UpdateFebruary 6, 2026

NPPES CertifiedFebruary 6, 2026

✔ NPI 1518205681 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 MN · 21811

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.

3490 LEXINGTON AVE N STE 205, Shoreview, MN 55126

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lucille Amis-rosario Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961979612

PECOS Enrollment IDI20260430000498

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 Lucille Amis-rosario reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Youth & Family Services

Same address

Mental Health (Including Community Mental Health Center)

3490 LEXINGTON AVE N, SUITE 205
Shoreview, MN 55126

Reassigned Medicare billing, Minnesota enrollment
12 clinicians in this Medicare group

NPI 1639275852 (651) 486-3808

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 55126 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 $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 12

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

JACLYN ROSE SUCHY

Counselor (Professional)