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

Mr. Michael Rose, LCSW-R

Individual provider Clinical Social Worker · NPI 1518155456

Mr. Michael Rose, LCSW-R is a Clinical Social Worker in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

994 Jericho Tpke Ste 202
Smithtown, NY 11787-3234
Phone: (631) 462-5360
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 025252 (NY)

Record details

NPI number1518155456
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedOctober 4, 2007
Last updated in NPPESOctober 4, 2007

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