Individual provider Active NPI

Stefanie A Rockey, MSW, LISW

  • Clinical Social Worker
  • Archbold, OH
National Provider Identifier
1275719239
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I1101017 Issued in OH
Practice address
22251 State Route 2
Archbold, OH 43502-9452
Phone
(419) 445-1552
Fax
(419) 445-1401
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0030715 OH
Clinical Social Worker 1041C0700X I1101017 OH Primary

Addresses

Primary practice location

22251 State Route 2
Archbold, OH 43502-9452

Mailing address

1123 Cardinal Dr Apt B
Bryan, OH 43506-0509
Phone (419) 445-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128002405 OH Practitioner - Clinical Social Worker 4880123405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0030715OHMDSocial Worker
I1101017OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stefanie Ann Rockey/Rockey Counseling Services LLC. Clinical CurrentSince Apr 6, 2025 Accepting new patients
Shalom Ministries CurrentSince Nov 16, 2024 Accepting new patients
Acus Therapy Services Clinical Past Accepting new patients

Locations

22251 State Route 2
Archbold, OH 43502
Phone (419) 445-1552

5030 County Road 15
#C
Bryan, OH 43506
Phone (419) 636-1713

1210 W High St
Ste C
Bryan, OH 43506
Phone (419) 553-7794

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1275719239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CARDINAL DR APT B",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435060509",
            "telephone_number": "419-445-1552",
            "fax_number": "419-445-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22251 STATE ROUTE 2",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435029452",
            "telephone_number": "419-445-1552",
            "fax_number": "419-445-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKEY",
        "first_name": "STEFANIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0030715",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I1101017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Archbold, OH

Sources for this page

Verify at the official NPI Registry.