Douglas Santford Rose-Noble, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 18031 Issued in CA

Practice address

930 W Harris St
Eureka, CA 95503-3927

Phone

(707) 269-7543

NPI assigned

Feb 28, 2007

Last updated

Oct 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1366570715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 KNOX COVE DR",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193399",
            "telephone_number": "707-840-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955033927",
            "telephone_number": "707-269-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE-NOBLE",
        "first_name": "DOUGLAS",
        "middle_name": "SANTFORD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 18031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Luis Romero Jr., N/A
• Elizabeth Ellen Root, RN
• Lisa Ann Vidovich Root
• John Manuel Rosa
• Rose Burns Doula
• Kathi A Rose-Noble, LCSW
• Ellen Magnolia Rosebaugh Petitjean
• Jacob Daniel Rosen, LMFT107103
• Wayne E Roslosnik, R.P.T.
• Benjamin Berkley Ross

• Clinical Social Worker in Eureka, CA
• Providers in Eureka, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.