Active NPI
Mary R Rollo, MSW
- Social Worker
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW10074
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW15695 | FL | |
| Mental Health Counselor | 101YM0800X | SW15695 | FL | |
| Social Worker | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW10074 | FL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Day FL LLC | Clinical | Current | Accepting new patients |
| Brightside Health, Inc. | Multi-Specialty | Current | Accepting new patients |
| MCR Health, Inc. | Multi-Specialty | Current | Accepting new patients |
| Sailor Health Medical PA | Mental Health | Current | Accepting new patients |
| Author Health Professionals, PC | Multi-Specialty | Current | Accepting new patients |
| MCR Health, Inc. | Multi-Specialty | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.