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1942889944 NPI number — ALLISON ROCCA-ARCHER

NPI Number: 1942889944
Health Care Provider/Practitioner: ALLISON ROCCA-ARCHER

Information about “1942889944” NPI (ALLISON ROCCA-ARCHER) exists in 1942889944 in HTML format HTML  |  1942889944 in plain Text format TXT  |  1942889944 in PDF (Portable Document Format) PDF  |  1942889944 in an XML format XML  formats.

NPI Number : 1942889944 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942889944",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROCCA-ARCHER",
    "FirstName": "ALLISON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROCCA",
    "OtherFirstName": "ALLISON",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW, LCADC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1087 COVENTRY WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAHWAH",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07430-1382",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-783-4877",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "19 SPEAR RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RAMSEY",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07446-1235",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-783-4877",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2021",
    "LastUpdateDate": "03/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "44SC06356000",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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