Active NPI
Allisyn Rose, MSW, LSW
- Social Worker
- Kennett Square, PA
National Provider Identifier
1831698356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW133912
- Practice address
- 413 W Cypress St
Kennett Square, PA 19348-3009 - Phone
- (484) 857-2211
- NPI assigned
- Feb 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW133912 | PA | Primary |
Addresses
Primary practice location
413 W Cypress St
Kennett Square, PA 19348-3009
Mailing address
300 Church Aly
Kennett Square, PA 19348-3174
Phone (814) 659-1627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW133912 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518220800000",
"number": "1831698356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CHURCH ALY",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483174",
"telephone_number": "814-659-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 W CYPRESS ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483009",
"telephone_number": "484-857-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "ALLISYN",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-10",
"last_updated": "2018-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.