Jon Rochester, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015957 Issued in NC

Practice address

1908 Summey Ave
Charlotte, NC 28205-7932

Phone

(704) 517-2106

NPI assigned

Apr 28, 2021

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1861074874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 SUMMEY AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057932",
            "telephone_number": "704-517-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 SUMMEY AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057932",
            "telephone_number": "704-517-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHESTER",
        "first_name": "JON",
        "name_prefix": "Mr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Russell Rocamora, MD
• Karen Rocchio, LMFT
• Gabriel Arcadio Rocha, PA-C
• Kristen Roche, PHARMD
• Shannon M. Roche, D.O
• Rocinante Holistic Wellness Counseling & Recovery Services
• Kathryn Rock, M.D.
• Owen Rockett, DDS
• Rockhaven
• Rockinhgam Medical Clinic

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.