Active NPI
Michael David Rose, LMSW-T
- Social Worker
- Pittsburg, KS
National Provider Identifier
1679468201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 14188-T
- Practice address
- 710 N Broadway St
Pittsburg, KS 66762-3922 - Phone
- (620) 232-3228
- NPI assigned
- Jun 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14188-T | KS | Primary |
Addresses
Primary practice location
710 N Broadway St
Pittsburg, KS 66762-3922
Mailing address
703 S Chestnut St
Pittsburg, KS 66762-4935
Phone (918) 541-5315
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14188-T | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1679468201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 S CHESTNUT ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667624935",
"telephone_number": "918-541-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N BROADWAY ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667623922",
"telephone_number": "620-232-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "LMSW-T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-12",
"last_updated": "2025-06-12",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "14188-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.