STEPHANIE F. ROSE (NPI# 1417142456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417142456 |
Entity Type | Individual |
Full Name | STEPHANIE F. ROSE |
Credential | LCSW |
Practice Address |
2601 Kavanaugh Blvd Ste 5 Little Rock AR 72205-3991 |
Practice Telephone | 5016638990 |
Mailing Telephone | 5016638990 |
Enumeration Date | 2007-09-12 |
Last Update Date | 2019-10-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3529-C | AR | Behavioral Health & Social Service Providers |
N | 104100000X | Social Worker | 2486-M | AR | Behavioral Health & Social Service Providers |
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 116399726 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
10025 West Markham St, Ste. 210, Little Rock, AR 72205 | 5016635473 | 5018011816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083242879 | Stephanie Kay Spicer Rose | Nurse Practitioner | 1817 Chester Dr, Chester, MD 21619-2171 | 2020-03-29 |
1134515588 | Stephanie Rose | Speech-Language Pathologist | 151 Benefield Blvd, Peekskill, NY 10566-6815 | 2015-04-13 |
1831483023 | Stephanie Lynn Rose | Pharmacist | 2626 E Stone Dr, Target Pharmacy T-2332, Kingsport, TN 37660-5883 | 2011-06-05 |
1699000794 | Stephanie Rose | Home Health | 1601 Armory Dr Bldg B, Utica, NY 13501-5405 | 2009-10-07 |
1063443604 | Stephanie Andrea Rose | Internal Medicine | Internal Medicine Group, 830 S. Limestone, Suite 304, Lexington, KY 40536-0582 | 2006-07-05 |
1558353664 | Stephanie Marie Rose | Chiropractor | 32595 Grand River Ave, Farmington, MI 48336-3207 | 2005-08-16 |
1689146623 | Stephanie Rose | Social Worker | 222 Wall St, Seattle, WA 98121-1431 | 2018-12-31 |
1750743373 | Stephanie Dianne Rose | Psychologist | 1480 Darlington Ave, Crawfordsville, IN 47933-2007 | 2016-03-23 |
1174982532 | Stephanie Lorine Rose | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2016-02-15 |
1659620250 | Stephanie Lauren Rose | Emergency Medicine | 2000 Eoff Street, Wheeling, WV 26003 | 2012-08-29 |
Street Address |
2601 KAVANAUGH BLVD STE 5 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72205-3991 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
Find all providers in zip 72205 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
1003443953 | David Laser Jr. | Counselor | 3700 W 65th St, Little Rock, AR 72209-8552 | 2020-03-23 |
1992331508 | Seth Thomas Gilleran | Counselor | 14710 Cantrell Rd Ste 7a, Little Rock, AR 72223-4253 | 2020-03-14 |
1568004240 | Cheyenne Parker | Counselor | 20400 Col Glenn Road Youth Home, Inc., Little Rock, AR 72210-5323 | 2019-10-14 |
1104473198 | Carrie Teresa Calhoon | Counselor | 1100 N University Ave Ste 137, Little Rock, AR 72207-6344 | 2019-08-23 |
1730668864 | Raysha Clark | Counselor | 10515 W Markham St Ste K4, Little Rock, AR 72205-2287 | 2018-08-09 |
1003306804 | Chris Beasley | Counselor | 9819 Margie Cir, Little Rock, AR 72209-6521 | 2018-05-16 |
1841787090 | Martin Counseling Services, LLC | Counselor | 1100 N University Ave Ste 210, Little Rock, AR 72207-6359 | 2018-04-13 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72205 |
Please comment or provide details below to improve the information on STEPHANIE F. 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.