Active NPI
Emily Roll, MSSA, LISW-S
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1538489091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0900109-SUPV
- Practice address
- 3500 Lorain Ave Ste 407
Cleveland, OH 44113-3726 - Phone
- (216) 200-8543
- Fax
- (216) 744-1114
- NPI assigned
- Jun 8, 2010
- Last updated
- Jun 29, 2024
- 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 | I.0900109-SUPV | OH | Primary |
Addresses
Primary practice location
3500 Lorain Ave Ste 407
Cleveland, OH 44113-3726
Mailing address
14618 Rainbow Ave
Cleveland, OH 44111-2221
Phone (440) 263-1279
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 |
|---|---|---|---|
| I.0900109-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Roll Lisw-S LLC | Clinical | Current | Accepting new patients |
Locations
3500 Lorain Ave
Ste 407
Cleveland, OH 44113
Phone (216) 200-8543
Organizations & group practices 1
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": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719619200000",
"number": "1538489091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14618 RAINBOW AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441112221",
"telephone_number": "440-263-1279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 LORAIN AVE STE 407",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133726",
"telephone_number": "216-200-8543",
"fax_number": "216-744-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLL",
"first_name": "EMILY",
"credential": "MSSA, LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2024-06-29",
"certification_date": "2024-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0900109-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.