MEDICARE: LAUREN ROSEN

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	104100000X	Social Worker
3	1041C0700X	Clinical Social Worker	CW026774	PA
4	1041C0700X	Clinical Social Worker	Q1-0012824	DE

General Provider Information

NPI Number	:	1700451945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ROSEN

Provider Business Mailing Address
First Line	:	300 CREEK VIEW RD
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19711-8546
Country	:	US
Telephone Number	:	302-307-3702
Fax Number	:

Provider Business Practice Location Address
First Line	:	262 CHAPMAN RD BLDG SUITE100
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-5448
Country	:	US
Telephone Number	:	302-703-6332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2021
Last Update Date	:	02/09/2026

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Directions to “ LAUREN ROSEN ” Practice Location

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