Stephanie Haney Rose, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890071481 Issued in VT

Practice address

27 Rye Circle
South Burlington, VT 05403-0000

Phone

(802) 654-7607

Fax

(802) 654-9155

NPI assigned

Sep 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stephanie Haney Rose Licsw, PLLC

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1700632403
  NPD (past) Authorized official

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1326372673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RYE CIRCLE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054030000",
            "telephone_number": "802-654-7607",
            "fax_number": "802-654-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RYE CIRCLE",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054030000",
            "telephone_number": "802-654-7607",
            "fax_number": "802-654-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "STEPHANIE",
        "middle_name": "HANEY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MA",
            "license": "415598",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115254",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890071481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018309",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Renee Robinson, DPT
• Shelby Robinson
• Susan Lynne Robinson, LICSW
• Graciella Rodriguez
• Matthew Martin Rogers, DDS
• Emily Grace Rosenberg, M.D.
• Melinda Jane Rouille, MSW
• Kara Katherine Rozendaal, PA
• Thomas J Ruescher, DMD
• Karyna Rushford, RN

• Clinical Social Worker in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.