Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jacqueline S Rose

Individual provider Clinical Social Worker · NPI 1518305028

MS. Jacqueline S Rose is a Clinical Social Worker in New York, New York. Qualified in 2014, 12 years ago. Practices with Sondermind PA, a 72-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey, New York, Vermont and Washington.

Years since qualifying
12
Licensed in
NJ, NY, VT, WA
In the registry since
2013
Specialties on file
5
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Practice location Address checks out

139 Centre St Ste 824
New York, NY 10013-4558
Phone: (646) 450-7748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 River St Ste 9, Hoboken, NJ 07030-5990 — (646) 450-7748

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 086545 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 089.0135201 (VT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC05767100 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 092563 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61541452 (WA)

Record details

NPI number1518305028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 6, 2013
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sondermind Pa — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients12
Services billed 125 a service is one billed item, such as a visit, a test or a procedure
Average patient age56

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Sondermind PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 72 clinicians in the practice; 12 are shown here.

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