Healthcare Provider Details

I. General information

NPI: 1073239166
Provider Name (Legal Business Name): TODD ROCKHILL LLMSW, QIDP, QMHP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 JENNER DR
ALLEGAN MI
49010-1517
US

IV. Provider business mailing address

540 JENNER DR
ALLEGAN MI
49010-1517
US

V. Phone/Fax

Practice location:
  • Phone: 269-355-3142
  • Fax:
Mailing address:
  • Phone: 269-355-3142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851121856
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: