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Jacqueline S. Rose

NPI 1518305028ActiveIndividual· Social Worker, Clinical· New York, NY

Social Worker, Clinical with Sondermind PA and 1 other group, practicing in New York, New York. Medicare paid $4,174 for services to 12 patients in 2024.

Overview

NPI1518305028
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJun 6, 2013
Last updated in NPPESAug 7, 2024
Certified by providerAug 7, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X086545NY
Social Worker, Clinical1041C0700X089.0135201VT
Social Worker, Clinical1041C0700X44SC05767100NJ
Social Worker, Clinical1041C0700X092563NY
Social Worker, Clinical1041C0700XLW61541452WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (NJ); Practitioner - Clinical Social Worker (NY); Practitioner - Clinical Social Worker (VT); Practitioner - Clinical Social Worker (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients12
Services billed125 across 4 procedure codes
Paid by Medicare$4,174

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyClinical Social Worker

Medical groups

Source: CMS Care Compare

Other clinical social workers in New York

All 7,526 clinical social workers in New York · All clinical social workers in New York