| Andrea P. Rose, Licensed Clinical Social Worker, Inc. | |
|
3411 3rd Ave San Diego CA 92103-4906 | |
| (619) 993-3883 | |
| (619) 330-7124 |
| Full Name | Andrea P. Rose, Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3411 3rd Ave, San Diego, California |
| Authorized Official Name and Position | Andrea P. Rose (LCSW/PRESIDENT) |
| Authorized Official Contact | 6199933883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea P. Rose, Licensed Clinical Social Worker, Inc. 4346 Hill St San Diego CA 92107-4117 Ph: (619) 417-8811 | Andrea P. Rose, Licensed Clinical Social Worker, Inc. 3411 3rd Ave San Diego CA 92103-4906 Ph: (619) 993-3883 |
| NPI Number | 1457097099 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457097099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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