Cemetrius Teouna Rolle, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011711 Issued in VA

Practice address

2302 W Meadowview Rd
Greensboro, NC 27407-3721

Phone

(336) 852-0092

NPI assigned

Jun 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Changing Lives Therapeutic Service, LLC

  • Community/Behavioral Health Agency
  • Danville, VA
  • NPI 1891317657

  Clinical

  Medicare reassignment NPD Authorized official
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  VA

  Medicare reassignment NPD
• Top Priority Care Services, LLC.

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1598959660
  Medicare reassignment NPD
• Select Medical Transportation , LLC

  • Non-emergency Medical Transport (VAN)
  • Winston Salem, NC
  • NPI 1427833706
  NPD Authorized official

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1295117760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 UNIVERSITY EAST DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134395",
            "telephone_number": "980-833-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W MEADOWVIEW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073721",
            "telephone_number": "336-852-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLE",
        "first_name": "CEMETRIUS",
        "middle_name": "TEOUNA",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009781",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904011711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakeisha G Rogers, PHD, LCMHC, LCAS,CRC
• Nicole C Rogers, LPT
• Jacqueline Marie Roh, RPH, BCPS
• Roland M. Jones DDS
• Betsy Rolfes, PT, DPT
• Krishauna Renee Rolle
• Hal Judd Rollins, MD
• Michael Andrew Rollins, PHARM.D., R.PH.
• Alexa Dayana Roman Benitez
• Angelisse Nayade Roman Garcia

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.