Provider Demographics
NPI:1912889239
Name:ROWCOTSKY, DAVID LAWRENCE
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:LAWRENCE
Last Name:ROWCOTSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12519 GORDON BLVD APT 302
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2619
Mailing Address - Country:US
Mailing Address - Phone:609-610-7135
Mailing Address - Fax:
Practice Address - Street 1:12701 MARBLESTONE DR STE 270
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-8328
Practice Address - Country:US
Practice Address - Phone:703-202-9069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704016327101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health