Individual provider Active NPI

Rolandia Harris, LMSW

  • Clinical Social Worker
  • Wixom, MI
National Provider Identifier
1366848350
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109262 Issued in MI
Practice address
49197 Wixom Tech Dr Ste B
Wixom, MI 48393-3572
Phone
(810) 471-0343
NPI assigned
Nov 18, 2014
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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 6801109262 MI Primary

Addresses

Primary practice location

49197 Wixom Tech Dr Ste B
Wixom, MI 48393-3572

Mailing address

PO Box 293
Saginaw, MI 48606-0293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220628003400 MI Practitioner - Clinical Social Worker 6709266398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40
Cost
82.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101077MIMDClinical Social Worker
6802088256MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Universe, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Supportive Care I of Michigan PC Clinical CurrentSince Aug 1, 2022 Accepting new patients

Locations

1040 S Winter St
Adrian, MI 49221
Phone (248) 973-3660

330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300

49197 Wixom Tech Dr
Ste B
Wixom, MI 48393
Phone (248) 973-3660

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1366848350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486060293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49197 WIXOM TECH DR STE B",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933572",
            "telephone_number": "810-471-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ROLANDIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

Verify at the official NPI Registry.