Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MARY ANN ROSE
Active
Individual
MARY ANN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0005934-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246058
ANTHEM PIN
—
01
—
11749002
CAQH #
—
Enumeration date
03/21/2006
Last updated
03/20/2025
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