| Doctor Name: | DANIALLE ROSE |
| NPI Number: | 1023237831 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, QMHP, LADC |
| License Number: | |
| Business Practice Address: | 115 N 7th St Suite 6 Spearfish, SD - 577832700 |
| Business Phone Number: | 6056450100 |
| Business Fax Number: | 6057171009 |
| Mailing Address: | 115 North 7th Street, Suite 6 SPEARFISH |
| State: | SD |
| Postal Code: | 577830115 |
| Phone Number: | 6056450100 |
| Fax Number: | 6057171009 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |