Provider Demographics
NPI:1326573825
Name:COPE, ROSE TOMS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:TOMS
Last Name:COPE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:TOMS
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6245 ADAMS HUNT DRIVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188
Mailing Address - Country:US
Mailing Address - Phone:252-665-3434
Mailing Address - Fax:
Practice Address - Street 1:6245 ADAMS HUNT DRIVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188
Practice Address - Country:US
Practice Address - Phone:252-665-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-22
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040631141041C0700X
FLSW 111161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical