| Doctor Name: | DENISE R ROERICK |
| NPI Number: | 1033155593 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 518 |
| Business Practice Address: | 1900-8th Ave Se Minot, ND - 587014935 |
| Business Phone Number: | 7018575998 |
| Business Fax Number: | 7018575022 |
| Mailing Address: | Po Box 5010, MINOT |
| State: | ND |
| Postal Code: | 587015010 |
| Phone Number: | 7018575650 |
| Fax Number: | 7018575031 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |