Provider Demographics
NPI:1699893073
Name:STROCK, ARTHUR H (LCSW)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:H
Last Name:STROCK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 LEWIS LANE
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823
Mailing Address - Country:US
Mailing Address - Phone:908-475-3203
Mailing Address - Fax:908-475-3203
Practice Address - Street 1:486 SCHOOLEYS MT RD
Practice Address - Street 2:BLDG 2B
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840
Practice Address - Country:US
Practice Address - Phone:908-475-3203
Practice Address - Fax:908-475-3203
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000268001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
534419OtherMAGELLAN PROVIDER #
NJ637360Medicare ID - Type Unspecified