Provider Demographics
NPI:1851594022
Name:ROARK, ANN HILL (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:HILL
Last Name:ROARK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CENTURY PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3154
Mailing Address - Country:US
Mailing Address - Phone:404-325-0304
Mailing Address - Fax:404-325-3663
Practice Address - Street 1:2200 CENTURY PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3154
Practice Address - Country:US
Practice Address - Phone:404-325-0304
Practice Address - Fax:404-325-3663
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0005441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical