Provider Demographics
NPI:1396094363
Name:ROCKER, DANIEL (LCSW-R)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ROCKER
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 W END AVE
Mailing Address - Street 2:SUITE 1-N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5601
Mailing Address - Country:US
Mailing Address - Phone:917-623-0426
Mailing Address - Fax:212-874-4413
Practice Address - Street 1:160 W END AVE
Practice Address - Street 2:SUITE 1-N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5601
Practice Address - Country:US
Practice Address - Phone:917-623-0426
Practice Address - Fax:212-874-4413
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081324-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical