Individual provider · Type 1 NPI

Michael Richard Rose, LCSW, PhD

Clinical Social Worker · Glendale, AZ

NPI number 1689626293 Active

Practice location

4915 W Bell Rd, Suite 202
Glendale, AZ 85308-3425

Call (602) 316-3529 Map

Fax (623) 444-7643

Mailing address

6604 W Tonto Dr
Glendale, AZ 85308-7026

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	LCSW-3693 (AZ)
Clinical Social Worker Primary	1041C0700X	LCSW-3693 (AZ)

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 1689626293

Michael Richard Rose, LCSW, PhD's National Provider Identifier is 1689626293, issued on May 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, AZ. The record was last updated on Jan 30, 2008.