Individual provider Active NPI

Erica Rollock, MSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1326499559
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122027 Issued in MA
Practice address
409 W Broadway
Boston, MA 02127-2245
Phone
(617) 464-5871
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 122027 MA Primary

Addresses

Primary practice location

409 W Broadway
Boston, MA 02127-2245

Mailing address

66 Canal St
Boston, MA 02114-2002
Phone (617) 371-3089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20210108000209 MA Practitioner - Clinical Social Worker 2163835307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

2300 Crown Colony Dr
Suite 202
Quincy, MA 02169-0902
Phone (781) 551-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122027MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South Boston Community Health Center CurrentSince Dec 3, 2020 Accepting new patients
Child and Family Psychological Services, PLLC Clinical CurrentSince Oct 11, 2021 Accepting new patients

Locations

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

2300 Crown Colony Dr
Ste 202
Quincy, MA 02169
Phone (617) 405-5735

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1326499559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CANAL ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142002",
            "telephone_number": "617-371-3089",
            "fax_number": "617-371-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W BROADWAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272245",
            "telephone_number": "617-464-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLOCK",
        "first_name": "ERICA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.