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NPI Code Detail

MEDICARE: SARAH VERDA ROSSITER

MEDICARE:   SARAH VERDA ROSSITER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801120335MI

General Provider Information

NPI Number : 1366392136
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH VERDA ROSSITER
Provider Business Mailing Address
First Line : 4511 SERRY DR
Second Line :
City : CALEDONIA
State : MI
Zip : 49316-9247
Country : US
Telephone Number : 269-910-2428
Fax Number :
Provider Business Practice Location Address
First Line : 4511 SERRY DR
Second Line :
City : CALEDONIA
State : MI
Zip : 49316-9247
Country : US
Telephone Number : 269-910-2428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ SARAH VERDA ROSSITER ” Practice Location

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