MS. CHARLESETTA ROLACK (NPI# 1083868970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083868970 |
| Entity Type | Individual |
| Full Name | MS. CHARLESETTA ROLACK |
| Credential | LICSW |
| Practice Address |
2100 Wilson Ave Saint Paul MN 55119-4034 |
| Practice Telephone | 6517711301 |
| Practice Fax Number | 6517712542 |
| Mailing Telephone | 6517711301 |
| Mailing Fax Number | 6517712542 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
18701 | MN | Behavioral Health & Social Service Providers |
| Street Address |
2100 WILSON AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55119-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700279924 | Ramsey County Human Services | Community/Behavioral Health | 2100 Wilson Ave, Saint Paul, MN 55119-4146 | 2015-03-12 |
| 1245541630 | Bryan Chao Vue | Counselor | 2100 Wilson Ave, Saint Paul, MN 55119-4146 | 2010-06-30 |
| 1174706857 | Mabel Musu Momoh | Social Worker | 2100 Wilson Ave, Saint Paul, MN 55119-4034 | 2007-12-17 |
| 1952583890 | Lenaye Annette Fox | Social Worker | 2100 Wilson Ave, Saint Paul, MN 55119-4034 | 2007-12-03 |
| 1861553810 | St. Paul Youth Services | Case Management | 2100 Wilson Ave, Saint Paul, MN 55119-4034 | 2006-12-13 |
| 1548356892 | Ramsey County Mental Health | Case Management | 2100 Wilson Ave, Saint Paul, MN 55119-4034 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520307 | Restorative Healing & Counseling, LLC | Social Worker | 385 Londin Place, St. Paul, MN 55119 | 2020-02-13 |
| 1891282059 | Tyller Robert | Specialist/Technologist | 2594 Montana Ave E, Maplewood, MN 55119 | 2018-04-13 |
| 1477081032 | Katarzyna Zelichowski | Dentist | 1790 7th St. E, St.paul, MN 55119 | 2017-05-26 |
| 1952769333 | Rufus Zarzar | Non-emergency Medical Transport (VAN) | 230 Kipling St S # C6, St Paul, MN 55119 | 2016-02-01 |
| 1144611427 | Eric Michael Weisnicht | Chiropractor | 165 Mcknight Road N, Apt 105, Saint Paul, MN 55119 | 2015-02-09 |
| 1295147981 | Lauri Elizabeth Goetz | Licensed Practical Nurse | 2092 Case Ave E, Saint Paul, MN 55119 | 2014-05-29 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1528391976 | Kc Healthcare Services | Home Health | 295 Mcnight Road South, St Paul, MN 55119 | 2009-09-16 |
| 1073759510 | Life Fountain Home Health Care Inc | Home Health | 1380 Currie St N, Maplewood, MN 55119 | 2009-01-06 |
| 1295858991 | Dental Delivery Systems St Paul, Pa | Dentist | 1790 7th Street E., St. Paul, MN 55119 | 2007-04-09 |
| Find all providers in zip 55119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053948315 | 61 Experience | Counselor | 1 Water St W Ste 230, Saint Paul, MN 55107-2002 | 2020-03-26 |
| 1003453473 | Elizabeth Subramaniam | Counselor | 658 Grand Ave, Saint Paul, MN 55105-3417 | 2019-12-04 |
| 1689217283 | Laufenberg Consulting Services | Counselor | 1619 Dayton Ave Ste 321, Saint Paul, MN 55104-6276 | 2019-10-26 |
| 1841833423 | Autism Center | Counselor | 1821 University Ave W Ste 219, Saint Paul, MN 55104-2892 | 2019-10-25 |
| 1518523497 | Angela Marie Blesener | Counselor | 1821 University Ave W Ste 385, Saint Paul, MN 55104-2872 | 2019-05-15 |
| 1508339821 | Integrative Wellness Counseling LLC | Counselor | 1619 Dayton Ave Ste 112, Saint Paul, MN 55104-6276 | 2019-01-09 |
| 1598233074 | Veasna Pho | Counselor | 777 Raymond Ave, Saint Paul, MN 55114-1522 | 2018-11-02 |
| 1366925828 | Amy Stoks | Counselor | 493 Selby Ave, Saint Paul, MN 55102-1726 | 2018-09-11 |
| 1396225140 | Anney Lyons | Counselor | 1884 Como Ave, Saint Paul, MN 55108-2715 | 2018-08-20 |
| 1073005120 | Northstar Mental Health Services LLC | Counselor | 1932 University Ave W, Saint Paul, MN 55104-3426 | 2018-06-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55119 |
Please comment or provide details below to improve the information on MS. CHARLESETTA ROLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.