MEDICARE: ANNE T ROCKWOOD LMSW

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	074107-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700963832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE T ROCKWOOD LMSW

Provider Business Mailing Address
First Line	:	2344 6TH ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94710-2412
Country	:	US
Telephone Number	:	510-981-4100
Fax Number	:	510-981-3263

Provider Business Practice Location Address
First Line	:	920 ALLSTON WAY
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94710-2389
Country	:	US
Telephone Number	:	510-981-4100
Fax Number	:	109-813-2635

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/11/2024

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