Provider Demographics
NPI:1487945242
Name:VRSEK, ROCHELLE (LMSW)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:VRSEK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SHELLY
Other - Middle Name:
Other - Last Name:VRSEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6060 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-9654
Mailing Address - Country:US
Mailing Address - Phone:248-514-3032
Mailing Address - Fax:
Practice Address - Street 1:6060 HICKORY LN
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-9654
Practice Address - Country:US
Practice Address - Phone:248-514-3032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010860751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical