Provider Demographics
NPI:1871966721
Name:ROCKER, MEGAN PATRICIA (LCSW, LMSW)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:PATRICIA
Last Name:ROCKER
Suffix:
Gender:F
Credentials:LCSW, LMSW
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:PATRICIA
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:21 PULASKI ROAD
Mailing Address - Street 2:UNIT 223
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-2530
Mailing Address - Country:US
Mailing Address - Phone:631-742-4915
Mailing Address - Fax:516-342-7000
Practice Address - Street 1:998 CROOKED HILL RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-1019
Practice Address - Country:US
Practice Address - Phone:631-742-4915
Practice Address - Fax:516-342-7000
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-01
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NY089084104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker