Individual provider · Type 1 NPI

Jon Mitchel Rose, LCSW

Clinical Social Worker · Pine Bush, NY

NPI number 1669655494 Active

Practice location

89 Boniface Dr
Pine Bush, NY 12566-7011

Fax (845) 744-6406

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO44407-1 (NY)

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 1669655494

Jon Mitchel Rose, LCSW's National Provider Identifier is 1669655494, issued on Dec 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pine Bush, NY. The record was last updated on Dec 16, 2007.