DERRELL COLBY ROSE - NPI 1962109538 - Social Worker in Providence, RI

Q: What is Derrell Rose's NPI number?

The NPI number for Derrell Rose is 1962109538. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Q: What is Derrell Rose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derrell Rose was last updated on February 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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About Derrell Colby Rose NPPES

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

DERRELL COLBY ROSE (NPI 1962109538) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (CSW02914) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1962109538

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDERRELL COLBY ROSE

Location Address382 THAYER STProvidence, RI 02906-1558

Mailing Address382 Thayer StProvidence, RI 02906-1558 · (401) 648-7172 · Fax (401) 648-0161

Phone(401) 648-7172

Fax(401) 648-0161

Sole ProprietorYes

Enumeration DateFebruary 14, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1962109538 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 RI · CSW02914

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.

382 THAYER ST, Providence, RI 02906

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Other Providers at the Same Location NPPES 11

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

NAIKA JOSEPH LICSW

Social Worker (Clinical)