Kelsey Rose, is a
Social Worker - Clinical based in Grand Rapids, Michigan. Kelsey Rose is licensed to practice in Michigan (license number 6801116626) and her current practice location is
3300 36th St Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 942-2110.
NPI number for Kelsey Rose is 1205418290 and her current mailing address is 3300 36th St Se, Grand Rapids, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205418290.
Healthcare Provider's Profile
| Full Name | Kelsey Rose |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3300 36th St Se, Grand Rapids, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205418290
- Provider Enumeration Date: 04/28/2021
- Last Update Date: 04/23/2025
Medical Identifiers
Medical identifiers for Kelsey Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205418290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 6801110364 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801116626 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelsey Rose,
3300 36th St Se,
Grand Rapids, MI 49512-2810
Ph: () - | Kelsey Rose,
3300 36th St Se,
Grand Rapids, MI 49512-2810
Ph: (616) 942-2110 |
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