Individual provider Active NPI

Rochelle Marcella Rose, MSW, PLCSW

  • Clinical Social Worker
  • Elizabethtown, NC
National Provider Identifier
1447525795
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P007014 Issued in NC
Practice address
598 Twisted Hickory Rd
Elizabethtown, NC 28337-5100
Phone
(910) 642-3598
Fax
(910) 642-3815
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P007014 NC Primary

Addresses

Primary practice location

598 Twisted Hickory Rd
Elizabethtown, NC 28337-5100

Mailing address

598 Twisted Hickory Rd
Elizabethtown, NC 28337-5100
Phone (910) 642-3598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P007014NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1447525795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 TWISTED HICKORY RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283375100",
            "telephone_number": "910-642-3598",
            "fax_number": "910-642-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 TWISTED HICKORY RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283375100",
            "telephone_number": "910-642-3598",
            "fax_number": "910-642-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ROCHELLE",
        "middle_name": "MARCELLA",
        "name_prefix": "Miss",
        "credential": "MSW, PLCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.