Joshua Rose Licensed Clinical Social Worker Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

26688 Issued in CA

Legal business name

JOSHUA ROSE LICENSED CLINICAL SOCIAL WORKER INC.

Doing business as

Family Works Community Counseling

Practice address

428 Wilson Ave
Richmond, CA 94805-2305

Phone

(510) 734-7028

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Scott Rose, LCSWNPI 1437213253

Title

President

Phone

(510) 734-7028

Specialties & licenses 1

Addresses

Other names 1

• Family Works Community Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Scott Rose, MSW

  • Clinical Social Worker
  • Pinole, CA
  • NPI 1437213253
  Authorized official Same address or phone

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1801145255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 BROWNING ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022026",
            "telephone_number": "510-734-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WILSON AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052305",
            "telephone_number": "510-734-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA ROSE LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-734-7028",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "26688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Works Community Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Jevetta Jones, MD
• Vanessa Jones
• Willard Jones
• Ra-Chel N. Jordan-Moore, MD
• Tana Josephs, LCSW
• Sunjae Jung
• Dajenya Shoshanna Kafele, LCSW
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Skyview Pharmacy 124)
• Kaiser Foundation Health Plan Inc (Kaiser Health Plan Mob 1 Phy)
• Kaiser Foundation Hospitals (Kaiser Outpatient Hospital Pharmacy 123)

• Community/Behavioral Health Agency in Richmond, CA
• Providers in Richmond, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.