Active NPI
Mary Elizabeth Johnson Rockers, MSW, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1942869813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C014710
- Practice address
- 822 Broad St
Durham, NC 27705-4138 - Phone
- (919) 205-9491
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P013564 | NC | |
| Clinical Social Worker | 1041C0700X | C014710 | NC | Primary |
Addresses
Primary practice location
822 Broad St
Durham, NC 27705-4138
Mailing address
1015 Rosehill Ave
Durham, NC 27705-4018
Phone (919) 265-3422
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C014710 | NC | MD | Clinical Social Worker |
| P013564 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1942869813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 ROSEHILL AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054018",
"telephone_number": "919-265-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054138",
"telephone_number": "919-205-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKERS",
"first_name": "MARY",
"middle_name": "ELIZABETH JOHNSON",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013564",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C014710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.