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

Kristen M Rose, LCSW

Individual provider Social Worker · NPI 1619635901

Kristen M Rose, LCSW is a Clinical Social Worker in Appleton, Wisconsin. Qualified in 2021, 5 years ago. Practices with County of Outagamie, a 9-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

320 S Walnut St
Appleton, WI 54911-5918
Phone: (920) 832-5270
Fax: (920) 832-5488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11395-123 (WI)
Social Worker Taxonomy 104100000X · Licence 132457 (WI)

Record details

NPI number1619635901
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 3, 2021
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice County Of Outagamie — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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