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

Mr. Glenn Rose, LSW1887

Individual provider Social Worker · NPI 1154507796

Mr. Glenn Rose, LSW1887 is a Social Worker in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008

Practice location Address checks out

1740 E 17th St Ste B
Idaho Falls, ID 83404-6375
Phone: (208) 529-8832
Fax: (208) 522-8725
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LSW1887 (ID)

Record details

NPI number1154507796
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW1887
Sole proprietorNo
NPI enumeratedJanuary 14, 2008
Last updated in NPPESJanuary 14, 2008

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