Mr James Leon Rollen Jr, CSAC II LCSW is a
Social Worker - Clinical based in Toto, Guam. Mr James Leon Rollen Jr is licensed to practice in Missouri (license number 001394) and his current practice location is
680 Damon Rd, Toto, Guam. He can be reached at his office (for appointments etc.) via phone at
(617) 477-5256.
NPI number for Mr James Leon Rollen Jr is 1245333616 and his current mailing address is #43 Calle De Silencio, Casa De Serinidad, Yona, Guam. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245333616.
Healthcare Provider's Profile
| Full Name | Mr James Leon Rollen Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 680 Damon Rd, Toto, Guam |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245333616
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr James Leon Rollen Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245333616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 353 (Missouri) | Primary |
| 1041C0700X | Social Worker - Clinical | 001394 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James Leon Rollen Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr James Leon Rollen Jr, CSAC II LCSW
#43 Calle De Silencio, Casa De Serinidad,
Yona, GU 96915
Ph: (671) 789-2838 | Mr James Leon Rollen Jr, CSAC II LCSW
680 Damon Rd,
Toto, GU 96915
Ph: (617) 477-5256 |
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