Active NPIIndividual providerSole proprietor

Mrs. Sandra Rose, MED

Marriage & Family Therapist in Worcester, Massachusetts

NPI Number1366701591
Practice location
548 Park Ave, Worcester, MA 01603-2537
Fax
—
Last updated
September 5, 2025

Sandra Rose is a Marriage & Family Therapist based in Worcester, MA. Sandra Rose practices in Worcester, MA and has the professional credentials of MED. The NPI Number for Sandra Rose is 1366701591 and holds a License No. AMFT141488 (CA). The current practice location address for Sandra Rose is 548 Park Ave, Worcester, MA 01603-2537 and can be reached out via phone at 774-823-1500.

Provider Profile Details

NPI Number
1366701591
Provider Name
Sandra Rose
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
548 Park Ave, Worcester, MA 01603-2537
Phone Number
774-823-1500
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2012
Last Update Date
September 5, 2025
Certification Date
September 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
548 Park Ave
Worcester, MA 01603-2537
Zip
01603-2537
Phone Number
774-823-1500
Worcester, MA 01603Get directions →

Provider Business Mailing Address Details

Address
2001 S Barrington Ave
Suite 309
Los Angeles, CA 90025
City
Los Angeles
State
CA
Zip
90025
Phone Number
323-457-3370

License Information

License Number (1)
AMFT141488
License State (1)
CA
Taxonomy (1)
Marriage & Family Therapist · 106H00000X · Primary
Taxonomy (2)
Psychologist, Cognitive & Behavioral · 103TB0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Sandra Rose, MED?

The NPI number of Mrs. Sandra Rose, MED is 1366701591. It was assigned on May 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Sandra Rose, MED?

Mrs. Sandra Rose, MED is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CA under license number AMFT141488.

Where does Mrs. Sandra Rose, MED practice?

The practice location is 548 Park Ave, Worcester, MA 01603-2537. The office can be reached at 774-823-1500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366701591 directly on the NPPES registry website.

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