Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Rose Psychotherapy, LLC

Organization Clinical Social Worker · NPI 1962150615

Southern Rose Psychotherapy, LLC provides Clinical Social Worker services in Paducah, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 Jefferson St Ste 301
Paducah, KY 42001-1088
Phone: (971) 334-1940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1962150615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Larson — Therapist · (971) 334-1940
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022
Mailing address2780 New Holt Rd Ste D373, Paducah, KY 42001-7441

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