Active NPI
Howard R Rockett, LCSW
- Social Worker
- Prescott, AZ
National Provider Identifier
1093705287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW 11050
- Practice address
- 340 N Mount Vernon Ave
Prescott, AZ 86301-2620 - Phone
- (928) 772-0482
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW 11050 | AZ | Primary |
Addresses
Primary practice location
340 N Mount Vernon Ave
Prescott, AZ 86301-2620
Mailing address
PO Box 25431
Prescott Valley, AZ 86312-5431
Phone (928) 772-0482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 11050 | AZ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1093705287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25431",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863125431",
"telephone_number": "928-772-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N MOUNT VERNON AVE",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012620",
"telephone_number": "928-772-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKETT",
"first_name": "HOWARD",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "LCSW 11050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.