IndividualActive
Derrell Rose
NPI 1962109538 · Clinical Social Worker · Providence, RI
Derrell Rose is a Clinical Social Worker provider in Providence, RI (NPI 1962109538).
Provider details
- NPI number
- 1962109538
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- CSW02914 (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
382 Thayer St
Providence, RI 02906-1558
Phone: (401) 648-7172
Fax: (401) 648-0161
Street-level locationGet directions
Mailing address
382 Thayer St
Providence, RI 02906-1558
Registry dates
- Enumerated
- 2023-02-14
- Last updated
- 2023-02-14
- Certified
- 2023-02-13
Frequently asked questions
- What is Derrell Rose's NPI number?
- Derrell Rose's National Provider Identifier (NPI) is 1962109538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrell Rose's specialty?
- Derrell Rose is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Derrell Rose located?
- Derrell Rose's practice location on file with NPPES is 382 Thayer St, Providence, RI 02906-1558.
- What is Derrell Rose's phone number?
- The practice phone number listed in the NPPES registry for Derrell Rose is (401) 648-7172.
- Is Derrell Rose's NPI active?
- Yes — Derrell Rose's NPI (1962109538) is active in the NPPES registry as of the last update on 2023-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.