Individual ProviderAndrew RosenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962(510) 924-0548PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Rosen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1316696040Provider TypeIndividualFull NameRosen, AndrewGenderMaleSole ProprietorNoEnumeration Date3/21/2022Last Updated8/15/2025Contact InformationPractice LocationPractice Address400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962Phone(510) 924-0548FaxUnlisted FaxMailing LocationMailing Address400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962Phone(510) 924-0548FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseASW132867CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer