Individual provider Active NPI

Adam W Roland, LCSW

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1780254813
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255290 Issued in KY
Practice address
200 Home Rd
Covington, KY 41011-5634
Phone
(859) 261-8768
Fax
(859) 291-2431
NPI assigned
Jun 30, 2021
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 255290 KY Primary

Addresses

Primary practice location

200 Home Rd
Covington, KY 41011-5634

Mailing address

200 Home Rd
Covington, KY 41011-5634
Phone (859) 261-8768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240318001542 KY Practitioner - Clinical Social Worker 9931546660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Home of Northern KentuckyGroup PAC ID 0143664102, 8 clinicians

Practice addresses (Care Compare)

525 W 5TH St
Suite 219
Covington, KY 41011-1293
Phone (859) 261-8768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255290KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Home of Northern Kentucky CurrentSince Jan 31, 2024 Accepting new patients
Children's Home of Northern Kentucky PastSince Jan 31, 2024 Accepting new patients

Locations

4836 Idlewild Rd
Burlington, KY 41005
Phone (859) 261-8768

200 Home Rd
Covington, KY 41011
Phone (859) 261-8768

525 W 5th St
Ste 219
Covington, KY 41011
Phone (859) 261-8768

103 Barnes Rd
Ste 1
Williamstown, KY 41097
Phone (859) 261-8768

Organizations & group practices 2

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1780254813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410115634",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410115634",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "ADAM",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.