ROSE ANN LICKENBROCK LCSW
NPI 1619624012
Social Worker - Clinical in Ponte Vedra Beach, FL

Active since March 05, 2022
116 OLD MILL CT, PONTE VEDRA BEACH, FL 32082(904) 537-7649 Get Directions Write a Review

NPPES record last updated: March 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rose Ann Lickenbrock Lcsw NPPES

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

ROSE ANN LICKENBROCK LCSW (NPI 1619624012) is an individual clinical provider in Ponte Vedra Beach, Florida, licensed in Florida (SW6040) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1619624012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameROSE ANN LICKENBROCKCredential: LCSW
Location Address116 OLD MILL CTPonte Vedra Beach, FL 32082-4133
Mailing Address116 Old Mill CtPonte Vedra Beach, FL 32082-4133 · (904) 537-7649
Sole ProprietorYes
Enumeration DateMarch 5, 2022
NPPES CertifiedMarch 5, 2022
NPI 1619624012 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 FL · SW6040
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.
116 OLD MILL CT, Ponte Vedra Beach, FL 32082

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 Lickenbrock's NPI number?

The NPI number for Rose Lickenbrock is 1619624012. It was assigned to this individual provider in the NPPES registry on March 5, 2022.

Where is Rose Lickenbrock located?

Rose Lickenbrock practices at 116 Old Mill Ct, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 537-7649.

What is Rose Lickenbrock's specialty?

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

When was this NPI record last updated?

The NPPES record for Rose Lickenbrock was last updated on March 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.