TALIA CATHERINE DEROSE MSW
NPI 1417183989
Counselor - Professional in Racine, WI

Q: What is Talia Derose's NPI number?

The NPI number for Talia Derose is 1417183989. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Q: What is Talia Derose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Talia Derose was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 10, 2009

316 5TH ST, SUITE 1, RACINE, WI 53403(262) 633-1235(262) 633-1236 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Talia Catherine Derose Msw NPPES

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

TALIA CATHERINE DEROSE MSW (NPI 1417183989) is an individual professional provider in Racine, Wisconsin, licensed in Wisconsin (4827-125) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1417183989

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameTALIA CATHERINE DEROSECredential: MSW

Location Address316 5TH ST, SUITE 1Racine, WI 53403-4606

Mailing Address316 5th St, Suite 1Racine, WI 53403-4606 · (262) 633-1235 · Fax (262) 633-1236

Phone(262) 633-1235

Fax(262) 633-1236

Sole ProprietorYes

Enumeration DateJune 10, 2009

Last NPPES UpdateSeptember 4, 2012

✔ NPI 1417183989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 4827-125

316 5TH ST, Racine, WI 53403

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Other Providers at the Same Location NPPES 3

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

DR. NICOLET DEROSE D.D.S

Dentist (Pediatric Dentistry)

316 5TH ST
RACINE, WI 53403

Racine County (262) 534-8662

DEROSE FAMILY COUNSELING, LLC.

Community/Behavioral Health

316 5TH ST, SUITE 1
RACINE, WI 53403

Racine County (262) 633-1235

DR. FRANCESCA DEROSE

Dentist

316 5TH ST
RACINE, WI 53403

Racine County (262) 634-8662

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 Talia Derose's NPI number?

The NPI number for Talia Derose is 1417183989. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Talia Derose located?

Talia Derose practices at 316 5th St Suite 1, Racine, WI 53403. The listed phone number is (262) 633-1235.

What is Talia Derose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Talia Derose was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.