Active NPI
Jordan Rock
- Social Worker
- Philadelphia, PA
National Provider Identifier
1538040167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW142467
- Practice address
- 4219 Regent SQ
Philadelphia, PA 19104-4438 - Phone
- (617) 571-2823
- NPI assigned
- Sep 10, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW142467 | PA | Primary |
| Professional Counselor | 101YP2500X | SW142467 | PA | |
| Marriage & Family Therapist | 106H00000X | SW142467 | PA |
Addresses
Primary practice location
4219 Regent SQ
Philadelphia, PA 19104-4438
Mailing address
4219 Regent SQ
Philadelphia, PA 19104-4438
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 |
|---|---|---|---|
| SW142467 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1538040167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 REGENT SQ",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4219 REGENT SQ",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044438",
"telephone_number": "617-571-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW142467",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "SW142467",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "SW142467",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.