Melina Rose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW5714 Issued in TN

Practice address

587 E Main St
Henderson, TN 38340-2440

Phone

(731) 608-4141

Fax

(800) 948-9003

NPI assigned

Nov 3, 2009

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Louisville School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rose Counseling

  • Clinical Social Worker
  • Henderson, TN
  • NPI 1972129062
  Authorized official Same address or phone
• Mental Health Centers & Clinics of Tennessee

  dba Quinco Mental Health Center

  • Mental Health Counselor
  • Bolivar, TN
  • NPI 1255442794
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1154658722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 E MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402440",
            "telephone_number": "731-608-4141",
            "fax_number": "800-948-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 E MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402440",
            "telephone_number": "731-608-4141",
            "fax_number": "800-948-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MELINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW5714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Rickard Jr., MSN,APRN,BC
• Cara Rust Roberson, APRN
• Kimberly S Roberts, FNP
• Stuart Douglas Rogers, O.D.
• Rose Counseling
• Sherry L Ross
• Daniel D Salmon, PA
• Paul Edward Schwartz, MD
• Melani Sidwell, NP
• Sleep Solutions of Henderson

• Clinical Social Worker in Henderson, TN
• Providers in Henderson, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.