Active NPI
Mary H Rocha, MSW-LICSW
- Clinical Social Worker
- Swanville, ME
National Provider Identifier
1558843987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1015404
- Practice address
- 70 Veazie Rd.
Swanville, ME 04915-4580 - Phone
- (207) 307-0328
- NPI assigned
- Sep 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1015404-SW-LICSW | MA | |
| Clinical Social Worker | 1041C0700X | 1015404 | MA | Primary |
Addresses
Primary practice location
70 Veazie Rd.
Swanville, ME 04915-4580
Mailing address
70 Veazie Rd.
Swanville, ME 04915-4580
Phone (207) 307-0328
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 |
|---|---|---|---|
| 1015404 | MA | MD | Clinical Social Worker |
| 1015404-SW-LICSW | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535760000000",
"number": "1558843987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 VEAZIE RD.",
"city": "SWANVILLE",
"state": "ME",
"postal_code": "049154580",
"telephone_number": "207-307-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 VEAZIE RD.",
"city": "SWANVILLE",
"state": "ME",
"postal_code": "049154580",
"telephone_number": "207-307-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHA",
"first_name": "MARY",
"middle_name": "H",
"credential": "MSW-LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-01",
"last_updated": "2018-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1015404-SW-LICSW",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1015404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swanville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.