Traci Linn Rock, L.C.S.W.

Key facts

NPI

1255867271

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

478 (CO)

Practice address

950 Wadsworth Blvd Ste 202
Lakewood, CO 80214-4542

Phone

(970) 769-4797

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2017.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1255867271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD STE 202",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144542",
            "telephone_number": "970-769-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WADSWORTH BLVD STE 202",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802144542",
            "telephone_number": "970-769-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "TRACI",
        "middle_name": "LINN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lakewood, CO · Clinical Social Worker in Colorado