Active NPI
Caroline Rose, MSW
- Social Worker
- Gresham, OR
National Provider Identifier
1194018135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 801 NW Wallula Ave
Gresham, OR 97030-5455 - Phone
- (503) 726-3726
- Fax
- (503) 726-3727
- NPI assigned
- May 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
801 NW Wallula Ave
Gresham, OR 97030-5455
Mailing address
10313 SW 69TH Ave
Tigard, OR 97223-9103
Phone (503) 726-3726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Narrative | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tigard, OR
- NPI 1265595664
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1194018135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10313 SW 69TH AVE",
"city": "TIGARD",
"state": "OR",
"postal_code": "972239103",
"telephone_number": "503-726-3726",
"fax_number": "503-726-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 NW WALLULA AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305455",
"telephone_number": "503-726-3726",
"fax_number": "503-726-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CAROLINE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-24",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.