MEDICARE: BRITTANY N ROSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	MSW012904	GA

General Provider Information

NPI Number	:	1699627950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY N ROSE

Provider Business Mailing Address
First Line	:	3046 BRIARCLIFF RD NE APT 14
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2628
Country	:	US
Telephone Number	:	770-861-6401
Fax Number	:

Provider Business Practice Location Address
First Line	:	3046 BRIARCLIFF RD NE APT 14
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2628
Country	:	US
Telephone Number	:	770-861-6401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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