MS. JANE C ROSE (NPI# 1053379602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053379602 |
| Entity Type | Individual |
| Full Name | MS. JANE C ROSE |
| Credential | LCSW |
| Practice Address |
515 Yancey St South Boston VA 24592-3322 |
| Mailing Address |
515 Yancey Ave South Boston VA 24592-3322 |
| Practice Telephone | 4345758255 |
| Practice Fax Number | 4345721616 |
| Mailing Telephone | 4345758255 |
| Mailing Fax Number | 4345721616 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904002734 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAGELLAN | 165713000 | 01 | |
| VA | MHN | 168077 | 01 |
| VA | 008917531 | 05 | |
| VA | OPTIMA SENTARA | 087374 | 01 |
| ANTHEM HEALTHKEEPERS PLUS | 326561 | 01 | |
| VA | ANTHEM BC/BS | 326561 | 01 |
| VA | UNITED BEHAVIORAL HEALTH | 98581393 | 01 |
| TRIGON | 326561 | 01 | |
| VA | UNITED HEALTH CARE | 98581393 | 01 |
| VA | VALUE OPTIONS | 237752 | 01 |
| VA | CIGNA | 7151705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505363 | Jane Rose | Audiologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2019-09-03 |
| Street Address |
515 YANCEY ST |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188546 | Kristen M Lambert | Social Worker | 405 W 1st St Unit 303, South Boston, MA 02127-1651 | 2020-06-15 |
| 1780161190 | Sandra Schultz | Social Worker | 851 E 5th St # 2, South Boston, MA 02127-3219 | 2018-07-27 |
| 1760971097 | Carol Malinowski | Social Worker | 486 E 3rd St Apt 4, South Boston, MA 02127-1452 | 2018-05-02 |
| 1144731746 | Yelana N Loiselle | Social Worker | 1226a Columbia Rd, South Boston, MA 02127-3920 | 2017-10-23 |
| 1760993554 | Triwellness Holistic Center LLC | Social Worker | 14 Dorchester St Ste 2, South Boston, MA 02127-1306 | 2017-10-19 |
| 1861865024 | Kathleen Cahill | Social Worker | 716 E 4th St, Apartment 1, South Boston, MA 02127-3142 | 2015-11-09 |
| 1225386204 | Alexandra Campbell Smith | Social Worker | 775 E 4th St, Apt. #2, South Boston, MA 02127-3259 | 2012-08-22 |
| 1184916553 | Patricia Shen | Social Worker | 279 Athens St, South Boston, MA 02127-1901 | 2011-05-04 |
| 1568770873 | Colleen E Mchorney | Social Worker | 1226 Columbia Rd, #a, South Boston, MA 02127-3978 | 2010-09-21 |
| 1538499587 | Anna Gerard | Social Worker | 3046 Carlbrook Rd, South Boston, VA 24592-6882 | 2010-01-13 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on MS. JANE C ROSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.