Active NPI
Brooke Rollins, LSW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1013732098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S.0800345
- Practice address
- 1100 Beecher Xing N Ste D
Columbus, OH 43230-4565 - Phone
- (614) 881-5804
- NPI assigned
- Nov 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.0800345 | OH | Primary |
Addresses
Primary practice location
1100 Beecher Xing N Ste D
Columbus, OH 43230-4565
Mailing address
218 Meadowdale Dr
Sunbury, OH 43074-7610
Phone (419) 340-4330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0800345 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1013732098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 MEADOWDALE DR",
"city": "SUNBURY",
"state": "OH",
"postal_code": "430747610",
"telephone_number": "419-340-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BEECHER XING N STE D",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432304565",
"telephone_number": "614-881-5804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "BROOKE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.0800345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.