Organization Active NPI

Whitney Rose, LCSW, PLLC

  • Clinical Social Worker
  • Missoula, MT
National Provider Identifier
1366085219
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHITNEY ROSE, LCSW, PLLC
Practice address
2423 Mullan Rd
Missoula, MT 59808-1827
Phone
(406) 672-5004
Fax
(406) 830-3156
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Whitney Rose, LCSWNPI 1174977599
Title
Outpatient Therapist/LCSW
Phone
(406) 672-5004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2423 Mullan Rd
Missoula, MT 59808-1827

Mailing address

2 Kasota CT
Missoula, MT 59803-1257
Phone (406) 672-5004

Other identifiers 1

IdentifierTypeStateIssuer
1174977599MedicaidMT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1366085219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KASOTA CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031257",
            "telephone_number": "406-672-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 MULLAN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081827",
            "telephone_number": "406-672-5004",
            "fax_number": "406-830-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY ROSE, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OUTPATIENT THERAPIST/LCSW",
        "authorized_official_telephone_number": "406-672-5004",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174977599",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.