Melissa Rocklen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116166 Issued in MA

Practice address

30 Germania St BLDG C
Jamaica Plain, MA 02130

Phone

(617) 501-6972

NPI assigned

Sep 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 20, 2023 through Feb 20, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Melissa Rocklen Licsw, LLC

  • Community/Behavioral Health Agency
  • Jamaica Plain, MA
  • NPI 1184355596
  NPD (past) Authorized official

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1841775442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GERMANIA ST BLDG C",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GERMANIA ST BLDG C",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-501-6972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Wachusett St # 1",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021304140",
            "country_code": "US",
            "telephone_number": "617-501-6972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKLEN",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deb Rivkin, MSPT, CEIS
• Alan Leroy Robinson, MA LCSW 200877 MA MF
• Amanda Catherine Robinson
• Tena Robinson, B.A.
• Molly Robson, LICSW
• Victor Rodney, M.ED
• Claudia Sofia Rodriguez, BA
• Olga Rodriguez, NP
• Sairanny Rodriguez
• Eleanor Roffman, PSYCHOLOGIST

• Clinical Social Worker in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.