Dorothy Marie Brocco, MSW,LCSW,CBT,BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00162600 Issued in NJ

Practice address

1600 Liberty Place, Ste. 2
Lakeview Business Park
Sicklerville, NJ 08081

Phone

(856) 979-9060

Fax

(856) 302-3068

NPI assigned

Dec 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1952469744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CHERRYWOOD DR",
            "city": "LAUREL SPRINGS",
            "state": "NJ",
            "postal_code": "080215605",
            "telephone_number": "856-566-0248",
            "fax_number": "856-566-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LIBERTY PLACE, STE. 2",
            "address_2": "LAKEVIEW BUSINESS PARK",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-979-9060",
            "fax_number": "856-302-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCCO",
        "first_name": "DOROTHY",
        "middle_name": "MARIE",
        "credential": "MSW,LCSW,CBT,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00162600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "398500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.