Provider Demographics
NPI:1942889944
Name:ROCCA-ARCHER, ALLISON
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:ROCCA-ARCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:ROCCA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LCADC
Mailing Address - Street 1:1087 COVENTRY WAY
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-1382
Mailing Address - Country:US
Mailing Address - Phone:201-783-4877
Mailing Address - Fax:
Practice Address - Street 1:19 SPEAR RD
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1235
Practice Address - Country:US
Practice Address - Phone:201-783-4877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ104100000X
NJ44SC06356000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health