Individual provider · Type 1 NPI

Kristina L. Kelly Rose

Clinical Social Worker · Layton, UT

NPI number 1205109352 Active

Practice location

1086 E Highway 193 Ste 103
Layton, UT 84040-8589

Call (801) 336-8475 Map

Mailing address

306 N 1500 E
Layton, UT 84040-4558

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5059033-3502 (UT)

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 1205109352

Kristina L. Kelly Rose's National Provider Identifier is 1205109352, issued on Feb 21, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Layton, UT. The record was last updated on Jul 16, 2015.