Provider Demographics
NPI:1760073613
Name:JENNIFER ROLLIN, MSW, LCSW-C
Entity Type:Organization
Organization Name:JENNIFER ROLLIN, MSW, LCSW-C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-653-7380
Mailing Address - Street 1:38 MARYLAND AVE UNIT 428
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-0344
Mailing Address - Country:US
Mailing Address - Phone:301-653-7380
Mailing Address - Fax:
Practice Address - Street 1:932 HUNGERFORD DR STE 35B
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1753
Practice Address - Country:US
Practice Address - Phone:301-653-7380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty