MS. CAROLINE ROSE MSW - NPI 1194018135 - Social Worker in Gresham, OR

Q: What is Caroline Rose's NPI number?

The NPI number for Caroline Rose is 1194018135. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Q: What is Caroline Rose's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Caroline Rose enrolled in Medicare?

No. Caroline Rose has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Caroline Rose was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

On this page

About Ms. Caroline Rose Msw NPPES

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

MS. CAROLINE ROSE MSW (NPI 1194018135) is an individual social worker in Gresham, Oregon and active in the NPI registry since May 2011. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1194018135

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. CAROLINE ROSECredential: MSW

Location Address801 NW WALLULA AVEGresham, OR 97030-5455

Mailing Address10313 Sw 69th AveTigard, OR 97223-9103 · (503) 726-3726 · Fax (503) 726-3727

Phone(503) 726-3726

Fax(503) 726-3727

Sole ProprietorNo

Enumeration DateMay 24, 2011

✔ NPI 1194018135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

801 NW WALLULA AVE, Gresham, OR 97030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Ms. Caroline Rose Msw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

ERIN PETTY

Counselor (Mental Health)