Kathleen Hanley Rose, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

283344-3501 Issued in UT

Practice address

75 W 1175 N
Beaver, UT 84713

Phone

(435) 438-5537

Fax

(435) 986-8700

NPI assigned

Feb 13, 2007

Last updated

May 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1700928785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "address_2": "SUITE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5600",
            "fax_number": "435-986-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W 1175 N",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "84713",
            "telephone_number": "435-438-5537",
            "fax_number": "435-986-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KATHLEEN",
        "middle_name": "HANLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "283344-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "283344-3501",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca S Rasmusson, NP
• Robert L Smith DC
• Bryon Noal Robinson, M.D.
• Byron Scott Robinson, PHARM.D.
• Joshua N Robinson
• Lance Clyde Smith, M.D.
• Rhett R Smith, M.D.
• Roger Hal Smith, M.D.
• Tony J Smith, PHARMD.
• Viven (Safe Zone)

• Clinical Social Worker in Beaver, UT
• Providers in Beaver, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.