Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Edward Rose

Individual provider Clinical Social Worker · NPI 1275188088

Kenneth Edward Rose is a Clinical Social Worker in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

20411 W 12 Mile Rd
Southfield, MI 48076-5414
Phone: (866) 703-1901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801094266 (MI)

Record details

NPI number1275188088
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 8, 2019
Last updated in NPPESAugust 8, 2019

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