Active NPI
Lisa Lynn Rolle, LCSW-C
- Clinical Social Worker
- Rockville, MD
National Provider Identifier
1407914971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06925
- Practice address
- 15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217 - Phone
- (301) 948-4395
- Fax
- (301) 840-8972
- NPI assigned
- Dec 5, 2006
- 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 | 06925 | MD | Primary |
Addresses
Primary practice location
15201 Shady Grove Rd
Suite 106
Rockville, MD 20850-3217
Mailing address
19038 Festival Dr
Boyds, MD 20841-4002
Phone (301) 515-5998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111219000881 | DC | Practitioner - Clinical Social Worker | 0648445718 | Practice locations: Rockville, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15201 Shady Grove Rd
Rockville, MD 20850-3217
Phone (301) 948-4395
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Physical Therapy Inc | Past | Accepting new patients | |
| Primary Physical Therapy, Inc. | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Rockville, MD
- NPI 1205380011
-
- Physical Therapist
- Rockville, MD
- NPI 1437182177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407914971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19038 FESTIVAL DR",
"city": "BOYDS",
"state": "MD",
"postal_code": "208414002",
"telephone_number": "301-515-5998",
"fax_number": "301-840-8972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15201 SHADY GROVE RD",
"address_2": "SUITE 106",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503217",
"telephone_number": "301-948-4395",
"fax_number": "301-840-8972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLE",
"first_name": "LISA",
"middle_name": "LYNN",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "06925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.