Rose, Stephanie F.

Rose, Stephanie F. is an individual health care provider with primary practice located at 2601 Kavanaugh Blvd Ste 5 , Little Rock AR 72205-3991. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rose, Stephanie F. can be contacted via phone (501) 663-8990.

Contact Information

Primary practice address
2601 Kavanaugh Blvd Ste 5 Little Rock AR 72205-3991
Phone: (501) 663-8990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2486-M Arkansas
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3529-C Arkansas

Profile Details

NPI number 1417142456
LBN Legal business name Rose, Stephanie F.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Oct 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417142456 NPPES
Arkansas MEDICAID 116399726

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