Rose Kathleen Andrade, LCSW
Individual provider Active NPI Clinical Social Worker · Apple Valley, CA
NPI 1104178532 · NPPES record last updated Aug 13, 2013
Key facts
- NPI
- 1104178532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 29464 (CA)
- Practice address
- 17800 US Highway 18
Apple Valley, CA 92307-1221 - Phone
- (760) 246-6336
- Fax
- (760) 946-0819
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29464 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino County Superintendent of Schools | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29464 | CA | Yes |
Addresses
Primary practice location
17800 US Highway 18
Apple Valley, CA 92307-1221
Mailing address
17800 US Highway 18
Apple Valley, CA 92307-1221
Phone (760) 246-6336
Other providers in Apple Valley, CA
- Michelle Marie Anderson
- Robert Craig Anderson
- Stephen Anderson
- Tre'Nise Je'Mel Anderson
- Autumn Andrade
- Karyn D Andreasen
- Andres a de la Llana MD Inc
- Sandra Elizabeth Andres Mejia
- Andrew S. Lee DMD, Inc.
- Anesthesia Consultants of the Desert, Inc
All providers in Apple Valley, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.