Active NPI
Christine Gabrielle Rollet, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1376784165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 071009
- Practice address
- 286 5TH Ave FL 10G
New York, NY 10001-4512 - Phone
- (917) 680-3745
- Fax
- (212) 679-6107
- NPI assigned
- Mar 9, 2009
- Last updated
- May 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 071009 | NY | Primary |
Addresses
Primary practice location
286 5TH Ave FL 10G
New York, NY 10001-4512
Mailing address
343 E 30TH St Apt 6C
New York, NY 10016-6430
Phone (917) 680-3745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1376784165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 E 30TH ST APT 6C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166430",
"telephone_number": "917-680-3745",
"fax_number": "212-679-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 5TH AVE FL 10G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014512",
"telephone_number": "917-680-3745",
"fax_number": "212-679-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLET",
"first_name": "CHRISTINE",
"middle_name": "GABRIELLE",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.