# WHITNEY ROSE, LCSW, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366085219
- **Authorized official:** WHITNEY ROSE LCSW (OUTPATIENT THERAPIST/LCSW)
- **Authorized official phone:** (406) 672-5004

## Contact information

- **Practice address:** 2423 MULLAN RD, MISSOULA, MT 59808-1827
- **Practice address phone:** (406) 672-5004
- **Practice address fax:** (406) 830-3156
- **Mailing address:** 2 KASOTA CT, MISSOULA, MT 59803-1257
- **Mailing address phone:** (406) 672-5004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019