MARY ANN ROSE (LISW-S) – Clinical Social Worker, NPI 1346209152

MARY ANN ROSE (LISW-S) is a healthcare provider. based in Lebanon, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I-0005934-SUPV (OH). The NPI Number for MARY ANN ROSE (LISW-S) is 1346209152

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MARY ANN ROSE (LISW-S)
NPI
1346209152
Phone
(513) 228-7800
Address
975 Kingsview Dr Bldg A
Enumeration Date
21 March 2006
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5133547000
Graduation Year
1992 (34 years ago)
PAC ID
3274610910
Group Practice PAC ID
3870498355
Professional Enrollment ID
I20080407000021
Address ID
OH452061706WA1501XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MARY ANN ROSE (LISW-S)

  • 975 Kingsview Dr Bldg A

    Lebanon, OH 45036

    Phone: (513) 228-7800

    Fax: (513) 228-7846

    Type: Location

  • 1501 MADISON RD

    SUIE 400

    CINCINNATI, OH 45206

    Phone: (513) 354-5200

    Type: Mailing

  • 975 KINGSVIEW DR BLDG A

    LEBANON, OH 45036

    Phone: (513) 228-7800

    Fax: (513) 228-7846

    Type: Location

  • 204, Cook Road, Lebanon, Warren County, Ohio, 45036, United States

    SUIE 400

    LEBANON, OH 450369600

    Phone: (513) 228-7800

    Fax: (513) 695-2952

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080407000021IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour6413$0
View full utilization report →

Insurance plans in this area (ZIP 45036)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870498355View full group profile
NameSpecialtyState
-OH
Certified Clinical Nurse Specialist (Cns)OH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
-OH
Nurse PractitionerKY
Mental Health CounselorOH
P S Y C H I A T R YOH
-OH

Reviews

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Frequently asked questions

Can I verify MARY ANN ROSE (LISW-S) with an NPI only?
You can start verification with NPI 1346209152 for MARY ANN ROSE (LISW-S), then check state licensing separately.
Does the file indicate MARY ANN ROSE (LISW-S) is practicing under active NPI?
Directory data currently reports MARY ANN ROSE (LISW-S) as active.
What healthcare role does MARY ANN ROSE (LISW-S) hold?
Scheduling teams often label MARY ANN ROSE (LISW-S) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does MARY ANN ROSE (LISW-S) serve?
MARY ANN ROSE (LISW-S)'s listing highlights Lebanon, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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