Organization Active NPI

Emily Roll Lisw-S LLC

  • Clinical Social Worker
  • Cleveland, OH
National Provider Identifier
1770328817
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EMILY ROLL LISW-S LLC
Practice address
3500 Lorain Ave Ste 407
Cleveland, OH 44113-3726
Phone
(216) 200-8543
Fax
(216) 744-1114
NPI assigned
Jun 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Authorized official

Name
Emily Roll, LISW-SNPI 1538489091
Title
Owner
Phone
(440) 263-1279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 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

Other names 1

  • Planted for Growth Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1770328817",
    "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": {
        "organization_name": "EMILY ROLL LISW-S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "ROLL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-263-1279",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planted for Growth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.