Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMISHA TANKEYIA ROSE
NPI 1962271254
Social Worker - Clinical in Fayetteville, NC

Q: What is Samisha Rose's NPI number?

The NPI number for Samisha Rose is 1962271254. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Q: What is Samisha 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 Samisha Rose was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 December 27, 2023

6885 CLIFFDALE RD STE 202, FAYETTEVILLE, NC 28314(910) 339-0400 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Jan 6, 2024 (2 updates tracked since 2024).

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About Samisha Tankeyia Rose NPPES

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

SAMISHA TANKEYIA ROSE (NPI 1962271254) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P024139) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1962271254

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSAMISHA TANKEYIA ROSE

Location Address6885 CLIFFDALE RD STE 202Fayetteville, NC 28314-2834

Mailing Address1229 Pee Dee Church RdDillon, SC 29536-7744 · (843) 627-3121

Phone(910) 339-0400

Sole ProprietorNo

Enumeration DateDecember 27, 2023

Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1962271254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · P024139

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 390200000X (NC)

6885 CLIFFDALE RD STE 202, Fayetteville, NC 28314

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Other Providers at the Same Location NPPES 20

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

MRS. TRACEY B NATALE MSW, LCSWA

Social Worker (Clinical)