Provider Demographics
NPI:1891379798
Name:RIVER ROCK COUNSELING LLC
Entity Type:Organization
Organization Name:RIVER ROCK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:H
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-239-7633
Mailing Address - Street 1:11 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MA
Mailing Address - Zip Code:01929-1203
Mailing Address - Country:US
Mailing Address - Phone:978-239-7633
Mailing Address - Fax:
Practice Address - Street 1:205 WILLOW ST STE B3F
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-2253
Practice Address - Country:US
Practice Address - Phone:978-239-7633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-07
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty