Individual
AVA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
076548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076548
LICENSE FOR MASTER OF SOCIAL WORK
NY
Enumeration date
10/16/2017
Last updated
10/16/2017
Update your record
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 at https://nppes.cms.hhs.gov.
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