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NPI Code Detail

MEDICARE: LETESHIA ROCKWELL LCSW

MEDICARE: LETESHIA ROCKWELL LCSW
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
11041C0700XClinical Social Worker60613TX
2171M00000XCase Manager/Care Coordinator60613TX
31041C0700XClinical Social Worker133688CA
4104100000XSocial Worker60613TX
51041C0700XClinical Social Worker10767-CNV
61041C0700XClinical Social WorkerLC200002568DC

General Provider Information

NPI Number : 1659758720
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETESHIA ROCKWELL LCSW
Provider Business Mailing Address
First Line : 1751 RIVER RUN STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6670
Country : US
Telephone Number : 817-500-0785
Fax Number :
Provider Business Practice Location Address
First Line : 1751 RIVER RUN STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6670
Country : US
Telephone Number : 817-500-0785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2015
Last Update Date : 06/29/2026

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Directions to “ LETESHIA ROCKWELL LCSW” Practice Location

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