Individual provider Active NPI

Jennifer Rollin, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1841736022
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20171 Issued in MD
Practice address
932 Hungerford Dr Ste 35B
Rockville, MD 20850-1753
Phone
(301) 653-7380
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 20171 MD Primary

Addresses

Primary practice location

932 Hungerford Dr Ste 35B
Rockville, MD 20850-1753

Mailing address

18704 Falling River Dr
Gaithersburg, MD 20879-6227
Phone (301) 653-7380

Other identifiers 1

IdentifierTypeStateIssuer
1417466897OtherMDLAUREN LEVINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 11, 2022 through Nov 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20171MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Rollin, MSW, LCSW-C Clinical Current Accepting new patients

Locations

932 Hungerford Dr
Ste 35B
Rockville, MD 20850
Phone (240) 630-0393

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1841736022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18704 FALLING RIVER DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208796227",
            "telephone_number": "301-653-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 HUNGERFORD DR STE 35B",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501753",
            "telephone_number": "301-653-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLIN",
        "first_name": "JENNIFER",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAUREN LEVINE",
            "identifier": "1417466897",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.