MEDICARE: CLAUDIA ROCKMAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	4111-C	NV

General Provider Information

NPI Number	:	1639567241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA ROCKMAKER

Provider Business Mailing Address
First Line	:	3550 W CHEYENNE AVE
Second Line	:	SUITE 130
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8212
Country	:	US
Telephone Number	:	702-570-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3550 W CHEYENNE AVE
Second Line	:	SUITE 130
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-8212
Country	:	US
Telephone Number	:	702-570-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2015
Last Update Date	:	01/05/2015

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Directions to “ CLAUDIA ROCKMAKER ” Practice Location

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