Harold Bernard Rose III, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018026062 Issued in MO

Practice address

1600 W Maud St Ste 2
Poplar Bluff, MO 63901-4726

Phone

(573) 840-0615

Fax

(573) 872-4797

NPI assigned

Jan 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Other, 2015

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 and National Provider Directory roles.

• Insightful Behavioral Health

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1417608407
  Medicare reassignment NPD Authorized official
• Mineral Area Psychiatric Services LLC

  • Psychiatry Physician
  • Farmington, MO
  • NPI 1306379482
  Medicare reassignment NPD
• Balance to Wellness Counseling LLC

  • Counselor
  • Poplar Bluff, MO
  • NPI 1760137061

  Mental Health

  NPD
• Bootheel Counseling Services

  • Community/Behavioral Health Agency
  • Sikeston, MO
  • NPI 1700652898
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1265071484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W MAUD ST STE 2",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014726",
            "telephone_number": "573-840-0615",
            "fax_number": "573-872-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W MAUD ST STE 2",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014726",
            "telephone_number": "573-840-0615",
            "fax_number": "573-872-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "HAROLD",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018026062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Shane Romanowski
• Angela Dawn Rommel
• Ashton David Rommel
• Justin Taylor Rommel
• Coe Allen Rose, DPT
• Brittney Roso
• Julie Ross, LCSW
• Shaun A Ross, MD
• Amy F Rowland, D.D.S., P.C.
• Robert F. Rowland, D.M.D.

• Clinical Social Worker in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.