Active NPI
Brooke Elizabeth Rose, LICSW
- Clinical Social Worker
- Tuscumbia, AL
National Provider Identifier
1700487014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4546C
- Practice address
- 110 W 1St St
Tuscumbia, AL 35674-1934 - Phone
- (205) 362-1719
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4546C | AL | Primary |
Addresses
Primary practice location
110 W 1St St
Tuscumbia, AL 35674-1934
Mailing address
110 W 1St St
Tuscumbia, AL 35674-1934
Phone (205) 362-1719
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thecounselingcircle@gmail.com |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1700487014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W 1ST ST",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356741934",
"telephone_number": "205-362-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 1ST ST",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356741934",
"telephone_number": "205-362-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "4546C",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "thecounselingcircle@gmail.com",
"affiliation": "N",
"address_1": "110 W 1st St",
"city": "Tuscumbia",
"state": "AL",
"country_code": "US",
"postal_code": "356741934",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tuscumbia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.