Individual provider Active NPI

Richard Alan Rohrlick, MSW, LCSW, BCD, ACSW

  • Clinical Social Worker
  • Ridgecrest, CA
National Provider Identifier
1780740761
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW #LCS-7634 Issued in CA
Practice address
801 N Downs St
Ste. I
Ridgecrest, CA 93555-3300
Phone
(760) 375-0348
Fax
(760) 375-9818
NPI assigned
Dec 28, 2006
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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 LCSW #LCS-7634 CA Primary

Addresses

Primary practice location

801 N Downs St
Ste. I
Ridgecrest, CA 93555-3300

Mailing address

801 N Downs St
Ste. I
Ridgecrest, CA 93555-3300
Phone (760) 375-0348

Other identifiers 1

IdentifierTypeStateIssuer
LCSW #LCS-7634OtherCALIC. CLIN. SOC. WORKER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000390 CA Practitioner - Clinical Social Worker 8123061363 Practice locations: Ridgecrest, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW #LCS-7634CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1780740761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N DOWNS ST",
            "address_2": "STE. I",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553300",
            "telephone_number": "760-375-0348",
            "fax_number": "760-375-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N DOWNS ST",
            "address_2": "STE. I",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553300",
            "telephone_number": "760-375-0348",
            "fax_number": "760-375-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRLICK",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, BCD, ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW #LCS-7634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. CLIN. SOC. WORKER #",
            "identifier": "LCSW #LCS-7634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.