Charlesetta Rolack, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18701 Issued in MN

Practice address

2100 Wilson Ave
Saint Paul, MN 55119-4034

Phone

(651) 771-1301

Fax

(651) 771-2542

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regions Hospital

  • Emergency Medicine Physician
  • Saint Paul, MN
  • NPI 1154359917
  Medicare reassignment

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1083868970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WILSON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194034",
            "telephone_number": "651-771-1301",
            "fax_number": "651-771-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WILSON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194034",
            "telephone_number": "651-771-1301",
            "fax_number": "651-771-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLACK",
        "first_name": "CHARLESETTA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Rohrscheib
• Brittany Roiger
• Joan Rojas, LP
• Sheila Rojas, MA, LPCC
• Steven A Rokeach, MD
• Sampson Joseph Rolen
• Amy Jo Rolfzen, CNP
• Kennedy Rolle
• Jasmine J Rollins
• Ray A Rollins, CRNA

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.