Individual provider · Type 1 NPI
Larry James Rose, L.C.S.W.
Clinical Social Worker · Elizabethton, TN
Practice location
2600 State Line Rd
Elizabethton, TN 37643-7204
Fax (423) 542-4369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LSW0000000484 (TN) |
| Clinical Social Worker | 1041C0700X | 0904003461 (VA) |
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 1366637365
Larry James Rose, L.C.S.W.'s National Provider Identifier is 1366637365, issued on Sep 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elizabethton, TN. The record was last updated on Sep 12, 2007.