Active NPI
Karen Anne Rose, LCSW
- Clinical Social Worker
- Mocksville, NC
National Provider Identifier
1851461560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- COO1388
- Practice address
- 151B S Main St
Mocksville, NC 27028-2424 - Phone
- (336) 414-9337
- NPI assigned
- Nov 9, 2006
- Last updated
- Jul 20, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | COO1388 | NC | Primary |
Addresses
Primary practice location
151B S Main St
Mocksville, NC 27028-2424
Mailing address
151 B South Main St.
Mocksville, NC 27028-2327
Phone (336) 414-9337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106054 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070810000305 | NC | Practitioner - Clinical Social Worker | 7214957182 | Practice locations: Winston Salem, NC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COO1388 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1851461560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 B SOUTH MAIN ST.",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282327",
"telephone_number": "336-414-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151B S MAIN ST",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282424",
"telephone_number": "336-414-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KAREN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "COO1388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106054",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mocksville, NC
- Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry Mocksville)
- Andrew Rivers, DMD
- Georgette Roberts-Kollie, LCSWA
- Jan Elisa Rogers, FNP
- Tareina Marie Rogers
- Melissa James Roseman
- Elizabeth Crenshaw Rosenbaum, PHARM D.
- Crystal Elizabeth Rosser, DDS
- David Allen Rosser, LCMHC
- Kris Moore Seaford
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.