Rock, Debra K
Rock, Debra K is an sole proprietor health care provider with primary practice located at 122 N Cortez St Ste 305 , Prescott AZ 86301-3024. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rock, Debra K can be contacted via phone (928) 713-8940.Contact Information
Primary practice address
122 N Cortez St Ste 305
Prescott AZ 86301-3024
Phone: (928) 713-8940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10308 | Arizona |
Profile Details
| NPI number | 1891744413 |
|---|---|
| LBN Legal business name | Rock, Debra K |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Sep 24th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891744413 | NPPES |
| Arizona | Other | 7701496 | AETNA |
| Arizona | Other | 219528 | AETNA |
| Arizona | Other | 116997 | AETNA |
| Arizona | Other | 2092496 | AETNA |
| Arizona | Other | 9258766 | AETNA |
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