Organization Active NPI

Stephanie Haney Rose Licsw, PLLC

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1700632403
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STEPHANIE HANEY ROSE LICSW, PLLC
Practice address
27 Rye Cir
South Burlington, VT 05403-7632
Phone
(802) 654-7607
Fax
(802) 654-9155
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Haney Rose, LICSWNPI 1326372673
Title
Sole Member
Phone
(802) 324-0348

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

27 Rye Cir
South Burlington, VT 05403-7632

Mailing address

27 Rye Cir
South Burlington, VT 05403-7632
Phone (802) 654-7607

National Provider Directory

National Provider Directory

Locations

27 Rye Cir
South Burlington, VT 05403
Phone (802) 654-7607

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": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1700632403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RYE CIR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037632",
            "telephone_number": "802-654-7607",
            "fax_number": "802-654-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RYE CIR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037632",
            "telephone_number": "802-654-7607",
            "fax_number": "802-654-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE HANEY ROSE LICSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "HANEY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "802-324-0348",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.