Individual provider Active NPI

Mary R Rollo, MSW

  • Social Worker
  • Pensacola, FL
National Provider Identifier
1720593338
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ISW10074 Issued in FL
Practice address
112 W Cervantes St
Pensacola, FL 32501-3128
Phone
(850) 466-3200
Fax
(850) 466-3203
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW15695 FL
Mental Health Counselor 101YM0800X SW15695 FL
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X ISW10074 FL Primary

Addresses

Primary practice location

112 W Cervantes St
Pensacola, FL 32501-3128

Mailing address

6770 Weathered Dr
Milton, FL 32570-2210
Phone (850) 384-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210624000431 FL Practitioner - Clinical Social Worker 7113328428 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians
Brighter Day FL LLCGroup PAC ID 4789113390, 6 clinicians
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

160 W Camino Real
Suite 1036
Boca Raton, FL 33432-5942
Phone (203) 568-6064

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330
Phone (786) 269-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ISW10074FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Day FL LLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
Brightside Health, Inc. Multi-Specialty CurrentSince Mar 1, 2026 Accepting new patients
MCR Health, Inc. Multi-Specialty CurrentSince Jul 12, 2021 Accepting new patients
Sailor Health Medical PA Mental Health CurrentSince Nov 3, 2025 Accepting new patients
Author Health Professionals, PC Multi-Specialty CurrentSince Apr 14, 2025 Accepting new patients
MCR Health, Inc. Multi-Specialty CurrentSince Jul 12, 2021 Accepting new patients

Locations

160 W Camino Real
Boca Raton, FL 33432
Phone (203) 568-6064

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1041 Broadway
Woodmere, NY 11598
Phone (203) 568-6065

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1720593338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 WEATHERED DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702210",
            "telephone_number": "850-384-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W CERVANTES ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013128",
            "telephone_number": "850-466-3200",
            "fax_number": "850-466-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLO",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15695",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW15695",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW10074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.