Kellie Rocha, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

308 Durham Rd
Dover, NH 03820-4354

Phone

(978) 274-7686

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Kellie Rocha, Licsw, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Dover, NH
  • NPI 1760059091
  NPD Authorized official

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1689191801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 DURHAM RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204354",
            "telephone_number": "978-274-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 DURHAM RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204354",
            "telephone_number": "978-274-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "KELLIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 Chestnut St",
            "city": "Dover",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038203672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elisha Rivera
• Derreth C Roberts, ARNP
• Mallory Robertson, RD, LDN
• Matthew Douglas Robertson, M.D.
• Holly Schaefer Robinson, LICSW
• James Rochefort, DMD
• Evanthe Rockwood
• Kathryn Davies Rodger, MS, LMFT
• Yvo Andres Rodriguez Linares, M.D.
• Joseph Anthony Rodriguez, MD

• Clinical Social Worker in Dover, NH
• Providers in Dover, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.