# ROCKVILLE LCSW PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockville LCSW services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083328660
- **Authorized official:** RACHEL ANNE WACHS LCSW (PRESIDENT)
- **Authorized official phone:** (516) 557-3141

## Contact information

- **Practice address:** 80 LINCOLN AVE UNIT 4, ROCKVILLE CENTRE, NY 11570-5778
- **Practice address phone:** (516) 557-3141
- **Mailing address:** 80 LINCOLN AVE UNIT 4, ROCKVILLE CENTRE, NY 11570-5778
- **Mailing address phone:** (516) 557-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2023
- **Last updated:** 01/09/2023