Shelley Rolf, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0000385 Issued in VT

Practice address

192 Fairview St
Bennington, VT 05201-9239

Phone

(802) 447-1557

NPI assigned

Feb 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bennington School Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bennington, VT
  • NPI 1760501936
  NPD (past)
• Vermont Permanency Initiative, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Bennington, VT
  • NPI 1285971721
  NPD (past)

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1891186227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CASTLE HILL AVE",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301051",
            "telephone_number": "413-429-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 FAIRVIEW ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052019239",
            "telephone_number": "802-447-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLF",
        "first_name": "SHELLEY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106349",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0000385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Robinson
• Rachel Rodney, MS,RD,CSSD,CDE
• Anne Rogers
• Rachel Rogge, PHARMD
• Scott W Rogge, MD
• Ana Lea Silvestre Rosales, RN,CNS,PNP
• Winifred Rose
• Melissa Rowe
• Steve Rucker, NP-C
• Doris M Russell, PH.D.

• Clinical Social Worker in Bennington, VT
• Providers in Bennington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.