Nicole Karen Rose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.010816 Issued in IL

Practice address

400 Central Ave Ste 250
Northfield, IL 60093-3024

Phone

(773) 817-2306

NPI assigned

Jul 10, 2023

Last updated

Jul 1, 2026By the provider in NPPES

Sex

Female

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicole Rose PLLC

  • Clinical Social Worker
  • Northfield, IL
  • NPI 1154248052
  Authorized official Same address or phone
• Tracy Nieman LLC

  • Professional Counselor
  • Evanston, IL
  • NPI 1356975965

  Single Specialty

  NPD
• Polina Reyngold, LTD

  • Professional Counselor
  • Evanston, IL
  • NPI 1649644071
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1407534324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE STE 250",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933024",
            "telephone_number": "773-817-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTRAL AVE STE 250",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933024",
            "telephone_number": "773-817-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "NICOLE",
        "middle_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Roestel, RN
• Hannah Rogers-O'Brien, LCPC
• Anett Rollin, MSW
• Rooted Connections ABA, LLC
• Alexandra Rosales
• Erik Rosen, LCSW
• Michael Rosen, D.C.
• Brian Rosenberg, LCSW
• Mark Rosenbloom, M.D.
• Meghan Taylor Rosenzweig, LCPC

• Clinical Social Worker in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.