Callie Roland, LCSW

Individual provider Active NPI Clinical Social Worker · Salado, TX

NPI 1083393326 · NPPES record last updated Jul 13, 2023

Key facts

NPI
1083393326
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
103299 (TX)
Practice address
10207 Southshore Dr
Salado, TX 76571-5949
Phone
(254) 291-5751
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
103299TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103299 TX Yes

Addresses

Primary practice location

10207 Southshore Dr
Salado, TX 76571-5949

Mailing address

10207 Southshore Dr
Salado, TX 76571-5949
Phone (254) 291-5751

Other providers in Salado, TX

All providers in Salado, TX · Clinical Social Worker in Texas

Sources for this page

Verify at the official NPI Registry.