MEDICARE: ROSA A EUSEBIO

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1710640339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA A EUSEBIO

Provider Business Mailing Address
First Line	:	236 COLONY CT
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-1631
Country	:	US
Telephone Number	:	401-771-3478
Fax Number	:

Provider Business Practice Location Address
First Line	:	7330 N 16TH ST STE 720A
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5237
Country	:	US
Telephone Number	:	602-293-8029
Fax Number	:	480-581-7474

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

Provider Enumeration Date	:	10/20/2021
Last Update Date	:	01/07/2026

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