Individual provider Active NPI

James Michael Rovaris, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1043497704
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
689 Issued in CO
Practice address
13237 Ashford Park Dr
Raleigh, NC 27613-4146
Phone
(719) 238-4009
Fax
(919) 841-4892
NPI assigned
Jan 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 689 CO Primary
Clinical Social Worker 1041C0700X C007874 NC

Addresses

Primary practice location

13237 Ashford Park Dr
Raleigh, NC 27613-4146

Mailing address

13237 Ashford Park Dr
Raleigh, NC 27613-4146
Phone (719) 238-4009

Other names 1

  • Michael Rovaris Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007874NCMDClinical Social Worker
689COMDSurgical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1043497704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13237 ASHFORD PARK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134146",
            "telephone_number": "719-238-4009",
            "fax_number": "919-841-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13237 ASHFORD PARK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134146",
            "telephone_number": "719-238-4009",
            "fax_number": "919-841-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVARIS",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "689",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "ROVARIS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.