Individual provider Active NPI

Rochelle MK Nakoa, LCSW

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1194061440
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2012013818 Issued in MO
Practice address
2200 Somerville Rd Ste 300
Annapolis, MD 21401-3713
Phone
(410) 990-0795
NPI assigned
Dec 13, 2012
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2012013818 MO Primary

Addresses

Primary practice location

2200 Somerville Rd Ste 300
Annapolis, MD 21401-3713

Mailing address

309 E College St
Marshall, MO 65340-3105
Phone (808) 728-1162

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

LicenseStateTypeSpecialty
2012013818MOMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1194061440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E COLLEGE ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403105",
            "telephone_number": "808-728-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SOMERVILLE RD STE 300",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013713",
            "telephone_number": "410-990-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKOA",
        "first_name": "ROCHELLE",
        "middle_name": "MK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2012013818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.