Kevin Rose PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KEVIN ROSE PLLC

Practice address

42189 Ann Arbor Rd E
Plymouth, MI 48170-4370

Phone

(734) 776-1605

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Kevin William Rose, LMSWNPI 1245369057

Title

Psychotherapist

Phone

(734) 776-1605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Rose, LMSW

  • Clinical Social Worker
  • Taylor, MI
  • NPI 1245369057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1720638711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17387 BRODY AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013417",
            "telephone_number": "734-776-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42189 ANN ARBOR RD E",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704370",
            "telephone_number": "734-776-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN ROSE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-776-1605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Walter Kenzie, O.D.
• Emily Kerkhof
• Rolene Kerr
• Joelen Elizabeth Kersten, LLMSW, CAADC
• Amanda Rose Kertesz, MA, BCBA, LBA
• Austin Keyser
• Luba Khakham
• Moufida A Khalife, DDS, MS
• Bismah Jamshed Khan, MA, TLLP
• Mohammad Khan

• Clinical Social Worker in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.