Catherine Blanche Rose

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7311 Issued in OR

Practice address

1016 SE 12TH Ave
Portland, OR 97214-2513

Phone

(503) 610-3510

NPI assigned

Oct 12, 2011

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Portland Community Counseling LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1821511239
  Authorized official Same address or phone

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235414012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142513",
            "telephone_number": "503-610-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142513",
            "telephone_number": "503-610-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 NE 7th St",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970305604",
            "country_code": "US",
            "telephone_number": "503-661-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CATHERINE",
        "middle_name": "BLANCHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Rose, LPC
• Amy Rose, B.S., MURP
• Amy Johanna Rose, LMT
• Brody R Rose
• Caitlin Rose, LPC
• Charissa Rose, MD
• Christina Opal Rose, LPC
• Courday Rose, CADC-R
• Crystal Rose
• Damien Paul Rose I

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.