| Jonathan Michael Rosen, LICSW | |
|
100 South St, Southbridge, MA 01550-4051 | |
| (508) 764-5075 | |
| Not Available |
| Full Name | Jonathan Michael Rosen |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 100 South St, Southbridge, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629366844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 118720 (Massachusetts) | Primary |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Michael Rosen, LICSW 100 South St, Southbridge, MA 01550-4051 Ph: (508) 764-5075 | Jonathan Michael Rosen, LICSW 100 South St, Southbridge, MA 01550-4051 Ph: (508) 764-5075 |
Mrs. Jennifer Colello Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 Charlton St, Southbridge, MA 01550 Phone: 508-849-5649 | |
Mrs. Laurel Boland, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 139 South St, Southbridge, MA 01550 Phone: 508-909-7799 | |
Mr. Paul J Carey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 508-765-9101 Fax: 508-764-4389 | |
Tatiana Towle, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9167 | |
Mr. Craig J Ungerman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Optical Dr, Southbridge, MA 01550 Phone: 508-519-3590 Fax: 508-849-3882 | |
Sandra Anne Fallon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9761 | |
Mrs. Kathleen C Hardwick, M.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 South Street, Southbridge, MA 01550 Phone: 508-765-9771 |