Individual
MS. JANE C ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 YANCEY ST, SOUTH BOSTON, VA 24592-3322
(434) 575-8255
(434) 572-1616
Mailing address
515 YANCEY AVE, SOUTH BOSTON, VA 24592-3322
(434) 575-8255
(434) 572-1616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002734
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008917531
—
VA
01
—
087374
OPTIMA SENTARA
VA
01
—
165713000
MAGELLAN
—
01
—
168077
MHN
VA
01
—
237752
VALUE OPTIONS
VA
01
—
326561
ANTHEM BC/BS
VA
01
—
326561
ANTHEM HEALTHKEEPERS PLUS
—
01
—
7151705
CIGNA
VA
01
—
98581393
UNITED HEALTH CARE
VA
Enumeration date
05/03/2006
Last updated
07/17/2020
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