Active NPI
Grace R. Rolen, LCSW
- Clinical Social Worker
- Richlands, VA
National Provider Identifier
1790931152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002768
- Practice address
- 118 Veterans Dr
Richlands, VA 24641-2764 - Phone
- (276) 596-9360
- Fax
- (276) 596-9361
- NPI assigned
- Aug 16, 2008
- Last updated
- Aug 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904002768 | VA | Primary |
Addresses
Primary practice location
118 Veterans Dr
Richlands, VA 24641-2764
Mailing address
103 Vista St
Bluefield, VA 24605-1515
Phone (276) 326-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904002768 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Counseling Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Richlands, VA
- NPI 1457419285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218844800000",
"number": "1790931152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 VISTA ST",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246051515",
"telephone_number": "276-326-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 VETERANS DR",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246412764",
"telephone_number": "276-596-9360",
"fax_number": "276-596-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLEN",
"first_name": "GRACE",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-16",
"last_updated": "2008-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richlands, VA
- Richlands Pharmacy Associates Inc (Richlands Pharmacy)
- Richlands Pharmacy Associates Inc (Richlands Pharmacy)
- Richlands Volunteer Rescue Squad, Inc. (Richlands Rescue Squad)
- Gregory Scott Rinehardt, DPT
- Amy Lea Roberts, CFNP
- Emily R Rose
- Justin Roy
- Jamal Iskandar Sahyouni, MD
- Chauncey B Santos, MD
- Samuel Eugene Scott, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.