Healthcare Provider Details

I. General information

NPI: 1013601129
Provider Name (Legal Business Name): ANNA CHRISTINE ROSE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA CHRISTINE MILBY LMSW

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY MO
64130-2807
US

IV. Provider business mailing address

3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY MO
64130-2807
US

V. Phone/Fax

Practice location:
  • Phone: 816-922-1070
  • Fax:
Mailing address:
  • Phone: 816-922-1070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2026029028
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number11364
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: