Jonathan Charles Rose, CSW-I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7490-S Issued in NV

Practice address

6879 W Charleston Blvd Ste a
Las Vegas, NV 89117-1672

Phone

(702) 608-4220

NPI assigned

May 30, 2018

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1649762279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CASA NORTE DR UNIT 2100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313331",
            "telephone_number": "702-472-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6879 W CHARLESTON BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171672",
            "telephone_number": "702-608-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5240 Goldfield St",
            "address_purpose": "LOCATION",
            "city": "N Las Vegas",
            "state": "NV",
            "postal_code": "890312913",
            "country_code": "US",
            "telephone_number": "702-501-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "credential": "CSW-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7490-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Elyse Rose, DNP, FNP-C
• Jada Marie Rose
• Janice Rose, RPH
• Jayne Rose
• Jeresneyka Nyrobe Rose, RBT
• Jordyn Rose
• Juliane Rose
• Kevin Rose
• Krystin Heather Rose, MSW, LCSW
• Mariah Ann Rose, RBT

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.