Individual provider Active NPI

Debra Lynn Rochna, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1679627574
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064691 Issued in MI
Practice address
24424 W McNichols Rd
Detroit, MI 48219-3653
Phone
(313) 531-2500
Fax
(313) 255-3471
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801064691 MI Primary

Addresses

Primary practice location

24424 W McNichols Rd
Detroit, MI 48219-3653

Mailing address

1980 Austin Dr
Novi, MI 48377-1904
Phone (313) 531-2500

Other identifiers 1

IdentifierTypeStateIssuer
DR064691OtherMIBCBS PIN

Other names 1

  • Ms. Debra Lynn Riddle-Meers Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679627574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 AUSTIN DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771904",
            "telephone_number": "313-531-2500",
            "fax_number": "313-255-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24424 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193653",
            "telephone_number": "313-531-2500",
            "fax_number": "313-255-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHNA",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "DR064691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "RIDDLE-MEERS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MSW, CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.