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

Kristen Susanne Rose, LCSW-C

Individual provider Clinical Social Worker · NPI 1508596081

Kristen Susanne Rose, LCSW-C is a Clinical Social Worker in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2022.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

14 S Broadway
Baltimore, MD 21231-1712
Phone: (443) 955-4717
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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 09917 (MD)

Record details

NPI number1508596081
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorNo
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

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