Organization Active NPI

M. Hope Rollins, LCSW, PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1750511127
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000345 Issued in NC
Legal business name
M. HOPE ROLLINS, LCSW, PLLC
Practice address
827 N Bloodworth St
Suite a
Raleigh, NC 27604-1231
Phone
(919) 239-4588
Fax
(919) 516-0558
NPI assigned
Jul 20, 2009
Last updated
Jul 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Ms. M Hope Rollins, LCSW
Title
Owner
Phone
(919) 239-4588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C000345 NC Primary

Addresses

Primary practice location

827 N Bloodworth St
Suite a
Raleigh, NC 27604-1231

Mailing address

827 N Bloodworth St
Suite a
Raleigh, NC 27604-1231
Phone (919) 239-4588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090727000599 NC Part B Supplier - Clinic/Group Practice 0446303267 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

113 N Boylan Ave
Raleigh, NC 27603
Phone (919) 239-4588

827 N Bloodworth St
#A
Raleigh, NC 27604
Phone (919) 239-4588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1750511127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N BLOODWORTH ST",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041231",
            "telephone_number": "919-239-4588",
            "fax_number": "919-516-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N BLOODWORTH ST",
            "address_2": "SUITE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041231",
            "telephone_number": "919-239-4588",
            "fax_number": "919-516-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. HOPE ROLLINS, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-239-4588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.