KRISTINA L KELLY ROSE (NPI# 1205109352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205109352 |
| Entity Type | Individual |
| Full Name | KRISTINA L KELLY ROSE |
| Practice Address |
1086 E Highway 193 Ste 103 Layton UT 84040-8589 |
| Mailing Address |
306 N 1500 E Layton UT 84040-4558 |
| Practice Telephone | 8013368475 |
| Mailing Telephone | 8013368475 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5059033-3502 | UT | Behavioral Health & Social Service Providers |
| Street Address |
1086 E HIGHWAY 193 STE 103 |
| City | LAYTON |
| State | UT |
| Zip Code | 84040-8589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
| 1902417629 | Christopher Luis Perez | Behavior Technician | 2940 Church Street, Suite 303, Layton, Davis, UT 84040 | 2020-08-14 |
| 1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
| 1568929875 | Cassie Marie Decker | Behavior Technician | 2935 N 935 E, Layton, UT 84040 | 2019-02-22 |
| 1174035257 | Emily Reed | Behavior Technician | 935 E 2985 N, Layton, UT 84040 | 2017-10-30 |
| 1679008122 | Christopher Valdez | Behavior Technician | 935 East 2985 North, Layton, UT 84040 | 2017-04-21 |
| 1194175463 | Halie Checketts | Behavior Technician | 935 E 2985 S, Layton, UT 84040 | 2016-06-17 |
| 1609231125 | Katherine Pike Macias | Speech-Language Pathologist | 201 W Latyon Parkway, Layton, UT 84040 | 2015-12-28 |
| 1891164752 | Katherine Dean Turek | Social Worker | 476 West Heritage Park Blvd, Suite 220, Layton, UT 84040 | 2015-09-22 |
| 1790152189 | Alma Discuillo | Behavior Technician | 2490 N Church St, Layton, UT 84040 | 2015-09-01 |
| Find all providers in zip 84040 | ||||
| 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 |
|---|---|---|---|---|
| 1891310058 | Jennifer Steele Christensen | Social Worker | 476 Heritage Park Blvd Ste 220, Layton, UT 84041-5679 | 2020-06-13 |
| 1154960185 | Jordan Bybeee | Social Worker | 377 Marshall Way, Layton, UT 84041-7378 | 2019-12-20 |
| 1932747169 | Haley Jex | Social Worker | 377 Marshall Way Ste 1, Layton, UT 84041-7378 | 2019-12-18 |
| 1013475169 | Mountainside Counseling Services | Social Worker | 27 S Main St Ste 201, Layton, UT 84041-3704 | 2019-03-07 |
| 1588138937 | Kimberly Clayton Jensen | Social Worker | 893 Marshall Way, Layton, UT 84041-7387 | 2019-01-18 |
| 1962957282 | Heather Wyler | Social Worker | 1889 E Sunset Dr, Layton, UT 84040-5709 | 2016-08-16 |
| 1467839019 | Christne N D'arco | Social Worker | 2265 Valley View Dr, Layton, UT 84040 | 2015-05-04 |
| 1972937803 | Scott Legrand Munden | Social Worker | 12 N 875 W, Layton, UT 84041-4668 | 2013-08-27 |
| 1285971176 | Lisa Diane Schultz Johnson | Social Worker | 2363 N Hill Field Rd Ste 5, Layton, UT 84041-6910 | 2013-01-11 |
| 1548528896 | Jaime M Tracy | Social Worker | 1133 N Main St Ste 128, Layton, UT 84041-4830 | 2012-04-24 |
| Find all providers in LAYTON | ||||
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| 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.