Individual provider Active NPI

Karin P Rolett, LCSW

  • Clinical Social Worker
  • Burnsville, NC
National Provider Identifier
1437196797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004003 Issued in NC
Practice address
72 Blue Ridge LN
Burnsville, NC 28714-7270
Phone
(828) 682-2111
Fax
(828) 649-2367
NPI assigned
Jun 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C004003 NC Primary

Addresses

Primary practice location

72 Blue Ridge LN
Burnsville, NC 28714-7270

Mailing address

72 Blue Ridge LN
Burnsville, NC 28714-7270
Phone (828) 682-2111

Other names 1

  • Karin Persson Former name

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

LicenseStateTypeSpecialty
C004003NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice & Palliative Care of the Blue Ridge Inc PastSince Jul 31, 2017 Accepting new patients
New Vistas-Mountain Laurel, Inc. Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437196797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BLUE RIDGE LN",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147270",
            "telephone_number": "828-682-2111",
            "fax_number": "828-649-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BLUE RIDGE LN",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147270",
            "telephone_number": "828-682-2111",
            "fax_number": "828-649-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLETT",
        "first_name": "KARIN",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "PERSSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burnsville, NC

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.