Brandon Rose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010196 Issued in VA

Practice address

5673 Airport Rd
Roanoke, VA 24012-1119

Phone

(540) 344-7700

NPI assigned

Dec 13, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700391604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 AIRPORT RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121119",
            "telephone_number": "540-344-7700",
            "fax_number": "540-344-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 AIRPORT RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121119",
            "telephone_number": "540-344-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Overland Rd SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240154711",
            "country_code": "US",
            "telephone_number": "540-344-7700",
            "fax_number": "540-344-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2102 Grandin Rd SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240153528",
            "country_code": "US",
            "telephone_number": "540-344-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaysee Rorer
• Rosa's Embrace LLC
• Heidi Marie Roschinger, NP
• Hayley Rose-Inman, M.D.
• Amie Rose, MD
• Jordyn Kennedy Rose
• Joshua Michael Rose, CRNA
• Marshall Carmen Roseberry Blount, PT
• Natalie Ann Roseman, PA-C
• Victoria Rosenberg

• Clinical Social Worker in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.