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

Mr. Jon Mitchel Rose, LCSW

Individual provider Clinical Social Worker · NPI 1669655494

Mr. Jon Mitchel Rose, LCSW is a Clinical Social Worker in Pine Bush, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

89 Boniface Dr
Pine Bush, NY 12566-7011
Phone: (845) 744-6974
Fax: (845) 744-6406
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 RO44407-1 (NY)

Record details

NPI number1669655494
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 16, 2007
Last updated in NPPESDecember 16, 2007

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