Kaitlin Rose

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1125 N Fairfax Ave Unit 46094
West Hollywood, CA 90046-8708

Phone

(805) 471-4616

NPI assigned

Nov 9, 2022

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 names 1

• Kaitlin Bouayed Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1831807619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N FAIRFAX AVE UNIT 46094",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900468708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N FAIRFAX AVE UNIT 46094",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900468708",
            "telephone_number": "805-471-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "BOUAYED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Roman
• Neil E Romanoff, M.D.
• Lauren Renee Romero
• Ronald Natale MD, Inc
• Breea Marie Rosas, ED.S
• Michael S Rose, PT, DPT
• Ralph Christopher Rose, MD
• Harry Rosedale III
• Amanda Brooke Rosen, PHARMD
• Peter J Rosen, MD

• Clinical Social Worker in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.