Provider Demographics
NPI:1598837023
Name:ROCKWOOD, PAUL LAWRENCE (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:LAWRENCE
Last Name:ROCKWOOD
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 SPARTA AVENUE
Mailing Address - Street 2:SUITE C-8
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871
Mailing Address - Country:US
Mailing Address - Phone:973-729-1966
Mailing Address - Fax:908-879-0785
Practice Address - Street 1:350 SPARTA AVENUE
Practice Address - Street 2:SUITE C-8
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871
Practice Address - Country:US
Practice Address - Phone:973-729-1966
Practice Address - Fax:908-879-0785
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI 04246103TC0700X
NJSC 017431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical