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.

Practice address

428 Wilson Ave
Richmond, CA 94805-2305

Phone

(510) 734-7028

NPI assigned

Aug 31, 2012

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, LCSW

Title

President

Phone

(510) 734-7028

Specialties & licenses 1

Addresses

Other names 1

• Family Works Community Counseling Doing business as

Locations

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"
        }
    ]
}

• Robert Jones
• Sharon Jevetta Jones, MD
• Willard Jones
• Ra-Chel N. Jordan-Moore, MD
• Tana Josephs, LCSW
• Sunjae Jung
• Dajenya Shoshanna Kafele, LCSW
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Hospitals

• 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.