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SOUTHERN ROSE PSYCHOTHERAPY, LLC
NPI 1962150615
Social Worker - Clinical in Paducah, KY

Active since March 11, 2022
555 JEFFERSON ST STE 301, PADUCAH, KY 42001(971) 334-1940 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Rose Psychotherapy, Llc NPPES

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

SOUTHERN ROSE PSYCHOTHERAPY, LLC (NPI 1962150615) is a healthcare organization registered as a clinical in Paducah, Kentucky and active in the NPI registry since March 2022. The organization lists Megan Rose Larson, Therapist, as its authorized official.

NPPES Registry Identity

NPI1962150615
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUTHERN ROSE PSYCHOTHERAPY, LLC
Location Address555 JEFFERSON ST STE 301Paducah, KY 42001-1088
Mailing Address2780 New Holt Rd Ste D373Paducah, KY 42001-7441 · (971) 334-1940
Phone(971) 334-1940
Organization SubpartNo
Authorized OfficialMegan Rose LarsonTherapist · (971) 334-1940
Enumeration DateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1962150615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
555 JEFFERSON ST STE 301, Paducah, KY 42001
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Other Identifiers 1

Medicaid1407393150OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. MEGAN ROSE LARSON LCSW
Social Worker (Clinical)
555 JEFFERSON ST STE 301
PADUCAH, KY 42001
McCracken County (971) 334-1940

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 Southern Rose Psychotherapy, LLC's NPI number?

The NPI number for Southern Rose Psychotherapy, LLC is 1962150615. It was assigned to this organization in the NPPES registry on March 11, 2022.

Where is Southern Rose Psychotherapy, LLC located?

Southern Rose Psychotherapy, LLC is located at 555 Jefferson St Ste 301, Paducah, KY 42001. The listed phone number is (971) 334-1940.

What is Southern Rose Psychotherapy, LLC'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 Southern Rose Psychotherapy, LLC was last updated on March 11, 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.