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ROSE KELLY LICSW
NPI 1104377233
Social Worker - Clinical in Vancouver, WA

Active since October 24, 2016
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661(360) 558-5795(360) 397-8494 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Jan 3, 2023, Sep 4, 2019 and 2 more (5 updates tracked since 2016).

About Rose Kelly Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE KELLY LICSW (NPI 1104377233) is an individual clinical provider in Vancouver, Washington, licensed in Washington (60811714) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1104377233
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameROSE KELLYCredential: LICSW
Location Address1601 E FOURTH PLAIN BLVD BLDG 17Vancouver, WA 98661-3717
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(360) 558-5795
Fax(360) 397-8494
Sole ProprietorNo
Enumeration DateOctober 24, 2016
Last NPPES UpdateDecember 8, 20235 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1104377233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · 60811714
Definition
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.
1601 E FOURTH PLAIN BLVD BLDG 17, Vancouver, WA 98661
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Other Names 1

Former Name (1)Cheyenne Rose Larkin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARK COUNTY CURRENT EXPENSE & CLARK COUNTY AUDITORS OFFICE
Public Health or Welfare
1601 E FOURTH PLAIN BLVD BLDG 17, 3RD FLOOR
VANCOUVER, WA 98661
Clark County (360) 397-8473
AMANDA LANCASTER
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
LAURA LYNN TENNEY SUDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
SCOTT C CHRISTENSEN SUDP-T
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246
LAVONNA KOFSTAD
Counselor (Mental Health)
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8484
SHANNON N MCCARTHY RN
Registered Nurse
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (564) 397-8000
TAYLOR MICHELLE FAULK CDPT
Counselor (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (800) 604-0025
ANDREA STRAHL RN
Registered Nurse (Addiction (Substance Use Disorder))
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661
Clark County (360) 397-8246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Kelly's NPI number?

The NPI number for Rose Kelly is 1104377233. It was assigned to this individual provider in the NPPES registry on October 24, 2016. The provider is also known as Cheyenne Rose Larkin.

Where is Rose Kelly located?

Rose Kelly practices at 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661. The listed phone number is (360) 558-5795.

What is Rose Kelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Rose Kelly accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Rose Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rose Kelly was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.