Active NPI
Laura Marie Roland, LCSW
- Clinical Social Worker
- Jber, AK
National Provider Identifier
1972784494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006715
- Practice address
- 673 MDG
5955 Zeamer Ave
Jber, AK 88506 - Phone
- (907) 580-2181
- NPI assigned
- Nov 27, 2007
- 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 | 0904006715 | VA | Primary |
Addresses
Primary practice location
673 MDG
5955 Zeamer Ave
Jber, AK 88506
Mailing address
673 MDG
5955 Zeamer Ave
Jber, AK 99506
Phone (907) 580-2181
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006715 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1972784494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 MDG",
"address_2": "5955 ZEAMER AVE",
"city": "JBER",
"state": "AK",
"postal_code": "99506",
"telephone_number": "907-580-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 MDG",
"address_2": "5955 ZEAMER AVE",
"city": "JBER",
"state": "AK",
"postal_code": "88506",
"telephone_number": "907-580-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLAND",
"first_name": "LAURA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jber, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.