Individual provider · Type 1 NPI

Gina Rose, LCSW

Clinical Social Worker · Hampstead, NC

NPI number 1194185686 Active

Practice location

95 H2O Pl Ste 11
Hampstead, NC 28443

Call (910) 996-3115 Map

Fax (910) 613-0016

Mailing address

1144 Western Blvd # 1122
Jacksonville, NC 28546-6651

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194185686

Gina Rose, LCSW's National Provider Identifier is 1194185686, issued on Feb 26, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampstead, NC. The record was last updated on Aug 10, 2026.