Michael J Rourke, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I-3206 Issued in NM

Practice address

3751 Del Rey Blvd
Las Cruces, NM 88012-7710

Phone

(505) 644-8846

Fax

(505) 522-5717

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavior Therapy Service, LLC

  • Social Worker
  • Las Cruces, NM
  • NPI 1588267058
  NPD Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295830461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16667",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880046667",
            "telephone_number": "505-644-8846",
            "fax_number": "505-522-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 DEL REY BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127710",
            "telephone_number": "505-644-8846",
            "fax_number": "505-522-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROURKE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-3206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H-7732",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carissa Shalini Rosten, DO
• Heather Roth
• Madison Roth
• Rachel Rothengass
• Randolph Philip Rountree, M.D., PSY.D.
• Route 44 Medical Transport
• Michael Rowe
• Morgan Rowland
• Ron Rowlett, PT
• Henry Rowlison, OT

• Social Worker in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.