Roca, Donna

Roca, Donna is an individual health care provider with primary practice located at 8268 164Th St Pavilion 151, Jamaica NY 11432-1121. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roca, Donna can be contacted via phone (718) 883-3321.

Contact Information

Primary practice address
8268 164Th St Pavilion 151 Jamaica NY 11432-1121
Phone: (718) 883-3321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 076085-1 New York

Profile Details

NPI number 1427090117
LBN Legal business name Roca, Donna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 30th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427090117 NPPES
New York MEDICAID 00245221

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