Gina Rose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

95 H2O PL Ste 11
Hampstead, NC 28443

Phone

(910) 996-3115

Fax

(910) 613-0016

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gina Rose Former name

Medicare fee-for-service enrollment

Enrolled in CT, NC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

WCT Behavioral Health and Medication Management PLLCGroup PAC ID 8820480734, 30 clinicians

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 and National Provider Directory roles.

• Liberty Treatment PLLC

  • Clinical Social Worker
  • Hampstead, NC
  • NPI 1942019583

  Clinical, NC

  Medicare reassignment NPD Authorized official
• WCT Behavioral Health & Medication Management PLLC

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1285391474

  CT

  Medicare reassignment Care Compare group NPD
• Liberty Treatment of Virginia

  • Clinical Social Worker
  • Avon, CT
  • NPI 1053173195

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1194185686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 WESTERN BLVD # 1122",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466651",
            "telephone_number": "910-996-3115",
            "fax_number": "910-613-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 H2O PL STE 11",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "telephone_number": "910-996-3115",
            "fax_number": "910-613-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paula Marie Rock, PT
• Tanisha Rolle
• Kaitlyn Lachelle Romine
• Rooted Nutrition and Fitness LLC
• Angela Rose, MSW
• Mary Hannah Ross, PHARMD
• Dawn M Rousseau, MS, LCMHC
• Melissa Birch Rowland, PTA
• Cora M Ryan, PH.D., HSP-P
• Rachel Ryan, M.S.ED./CCC-SLP

• All providers in Hampstead, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.