National Provider Identifier
Jacqueline E Rose, LMSW
Jacqueline E Rose, LMSW is listed in the NPPES registry with a primary specialty of School Social Worker in North Tonawanda, NY and a listed phone number of (716) 807-3753.
Profile Overview
- NPI
- 1922383595
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- October 14, 2011
- Last Updated
- August 14, 2024
Practice Location
- 789 Gilmore Ave
- North Tonawanda, NY 14120-6743
Phone: (716) 807-3753
Mailing Address
- 789 Gilmore Ave
- North Tonawanda, NY 14120
Specialties
- School Social Worker (1041S0200X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1922383595
- Entity Type
- Individual
- Last Name
- Rose
- First Name
- Jacqueline
- Middle Name
- E
- Name Prefix
- MS.
- Credential
- LMSW
- Mailing Street Address
- 789 Gilmore Ave
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120
- Mailing Country
- US
- Mailing Phone
- (716) 807-3753
- Mailing Fax
- (716) 870-3751
- Practice Street Address
- 789 Gilmore Ave
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-6743
- Practice Country
- US
- Practice Phone
- (716) 807-3753
- Practice Fax
- (716) 870-3751
- Enumeration Date
- October 14, 2011
- Last Updated
- August 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X), Clinical Social Worker (1041C0700X)
- Other Identifiers
- 01377162 (NY)