Individual provider · Type 1 NPI

Kristen M. Rose, LCSW

Clinical Social Worker · Appleton, WI

NPI number 1619635901 Active

Practice location

320 S Walnut St
Appleton, WI 54911-5918

Fax (920) 832-5488

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X132457 (WI)
Clinical Social Worker Primary 1041C0700X11395-123 (WI)

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 1619635901

Kristen M. Rose, LCSW's National Provider Identifier is 1619635901, issued on Dec 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Appleton, WI. The record was last updated on Sep 5, 2023.