Rebecca Dawn Rock, LCSW-C

Individual provider Active NPI Clinical Social Worker · White Marsh, MD

NPI 1639635584 · NPPES record last updated Feb 15, 2019

Key facts

NPI
1639635584
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
14461 (MD)
Practice address
5717 Fieldcrest Dr
White Marsh, MD 21162-1144
Phone
(908) 910-7745
NPI assigned
Feb 15, 2019
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

LicenseStateTypeSpecialty
14461MDMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14461 MD Yes

Addresses

Primary practice location

5717 Fieldcrest Dr
White Marsh, MD 21162-1144

Mailing address

5717 Fieldcrest Dr
White Marsh, MD 21162-1144
Phone (908) 910-7745

Other providers in White Marsh, MD

All providers in White Marsh, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.