Active NPI
Michele Nicole Rollness, MSW, LICSW
- Social Worker
- Snohomish, WA
National Provider Identifier
1033637228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 61084884
- Practice address
- 207 Avenue D Ste 100
Snohomish, WA 98290-2773 - Phone
- (206) 486-0320
- NPI assigned
- Sep 7, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 61084884 | WA | Primary |
Addresses
Primary practice location
207 Avenue D Ste 100
Snohomish, WA 98290-2773
Mailing address
8402 Spada Rd
Snohomish, WA 98290-6179
Phone (516) 395-0635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61084884 | Other | WA | LICENSE NUMBER |
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 |
|---|---|---|---|
| 61084884 | WA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1033637228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8402 SPADA RD",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982906179",
"telephone_number": "516-395-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 AVENUE D STE 100",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902773",
"telephone_number": "206-486-0320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLNESS",
"first_name": "MICHELE",
"middle_name": "NICOLE",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "61084884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "61084884",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.