Provider Demographics
NPI:1447232236
Name:ROCHLIN, JUDY (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:ROCHLIN
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 MARKET ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5422
Mailing Address - Country:US
Mailing Address - Phone:425-827-5956
Mailing Address - Fax:425-827-0946
Practice Address - Street 1:615 MARKET ST
Practice Address - Street 2:SUITE C
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5422
Practice Address - Country:US
Practice Address - Phone:425-827-5956
Practice Address - Fax:425-827-0946
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000054051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALW00005405OtherSOCIAL WORKER LICENSE
WARO1394Medicare UPIN
WALW00005405OtherSOCIAL WORKER LICENSE
WA8914160Medicare UPIN