Rose Sherblom
NPI 1609490390ActiveIndividual· Counselor, Mental Health· Worcester, MA
Counselor, Mental Health with Renaissance Primary Care LLC, practicing in Worcester, Massachusetts. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1609490390 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 29, 2020 |
| Last updated in NPPES | May 29, 2020 |
| Certified by provider | May 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (MA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
| Telehealth | Offers telehealth |
Medical group
- Renaissance Primary Care LLCSouthbridge, MA · 8 clinicians
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