Active NPI
Sharon R. Rose LMSW Caac Counseling Services LLC
- Clinical Social Worker
- Warren, MI
National Provider Identifier
1487909545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SHARON R. ROSE LMSW CAAC COUNSELING SERVICES LLC
- Practice address
- 28359 Aline Dr
Warren, MI 48093-2675 - Phone
- (586) 741-5111
- Fax
- (586) 806-0411
- NPI assigned
- Jul 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon Rose, LMSW
- Title
- Sole Member
- Phone
- (586) 741-5111
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
28359 Aline Dr
Warren, MI 48093-2675
Mailing address
PO Box 1496
Warren, MI 48090-1496
Phone (586) 741-5111
Other names 1
- no
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
37399 Garfield Rd
Ste 200A
Clinton Twp, MI 48036
Phone (586) 741-5111
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": "1342396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1487909545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1496",
"city": "WARREN",
"state": "MI",
"postal_code": "480901496",
"telephone_number": "586-741-5111",
"fax_number": "586-806-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28359 ALINE DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480932675",
"telephone_number": "586-741-5111",
"fax_number": "586-806-0411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON R. ROSE LMSW CAAC COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-16",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "586-741-5111",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "no",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "no",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.