Provider Demographics
NPI:1407031206
Name:COCKE, ROCHELLE HELENE (LCSW-C)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:HELENE
Last Name:COCKE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8109 HARFORD RD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-9205
Mailing Address - Country:US
Mailing Address - Phone:410-665-2900
Mailing Address - Fax:410-549-0600
Practice Address - Street 1:123 HERITAGE LN
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-9418
Practice Address - Country:US
Practice Address - Phone:410-665-2900
Practice Address - Fax:410-549-0600
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD113041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical