Individual provider Active NPI

Christina R Rolerson, LCSW, ACSW

  • Clinical Social Worker
  • Amarillo, TX
National Provider Identifier
1891122867
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
53068 Issued in TX
Practice address
3012 SW 26TH Ave
Ste 200
Amarillo, TX 79109-3161
Phone
(210) 232-2275
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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 53068 TX Primary

Addresses

Primary practice location

3012 SW 26TH Ave
Ste 200
Amarillo, TX 79109-3161

Mailing address

1804 Brown CT
White Deer, TX 79097-3104
Phone (210) 232-2275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190227002891 TX Practitioner - Clinical Social Worker 5092054593 Reassigns benefits to 2 organizations
Practice locations: Amarillo, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince May 3, 2021 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Mar 24, 2020 Accepting new patients

Locations

1625 Point West Pkwy
Amarillo, TX 79124
Phone (806) 356-0700

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1891122867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BROWN CT",
            "city": "WHITE DEER",
            "state": "TX",
            "postal_code": "790973104",
            "telephone_number": "210-232-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 SW 26TH AVE",
            "address_2": "STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093161",
            "telephone_number": "210-232-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLERSON",
        "first_name": "CHRISTINA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.