Provider Demographics
NPI:1427178748
Name:ROLLE, TAMIKA YVETTE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:TAMIKA
Middle Name:YVETTE
Last Name:ROLLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:TAMIKA
Other - Middle Name:YVETTE
Other - Last Name:DUNCOMBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3031 W 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-4909
Mailing Address - Country:US
Mailing Address - Phone:720-542-4713
Mailing Address - Fax:303-428-7791
Practice Address - Street 1:3031 W 76TH AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4909
Practice Address - Country:US
Practice Address - Phone:720-542-4713
Practice Address - Fax:303-428-7791
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68020838961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical