Individual
JORDAN ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4219 REGENT SQ, PHILADELPHIA, PA 19104-4438
(617) 571-2823
Mailing address
4219 REGENT SQ, PHILADELPHIA, PA 19104-4438
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
SW142467
PA
104100000X
Social Worker
Primary
SW142467
PA
1041C0700X
Clinical Social Worker
Primary
SW142467
PA
106H00000X
Marriage & Family Therapist
SW142467
PA
Other
Enumeration date
09/10/2025
Last updated
04/16/2026
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