KATELYN ROLA LCSW
NPI 1114789534
Social Worker - Clinical in Warwick, NY

Active since January 30, 2024Opted out of Medicare · through Feb 6, 2028
214 WEST ST, WARWICK, NY 10990(551) 497-0433 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Rola Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN ROLA LCSW (NPI 1114789534) is an individual clinical provider in Warwick, New York, licensed in New York (096899) and active in the NPI registry since January 2024. She has opted out of Medicare through February 6, 2028 and maintains a secondary practice location in Chester.

NPPES Registry Identity

NPI1114789534
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN ROLACredential: LCSW
Location Address214 WEST STWarwick, NY 10990-3214
Mailing AddressPo Box 97Sugar Loaf, NY 10981-0097 · (551) 497-0433
Sole ProprietorNo
Enumeration DateJanuary 30, 2024
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
NPI 1114789534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 096899
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
214 WEST ST, Warwick, NY 10990

Secondary Practice Location 1

Location 133 Deer Trail RoadChester, NY 10918 · Phone (551) 497-0433

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Katelyn Rola Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 6, 2024 through February 6, 2028.

Opt-Out Effective DateFebruary 6, 2024
Opt-Out In Effect ThroughFebruary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
214 WEST ST
WARWICK, NY 10990
Family Medicine
214 WEST ST
WARWICK, NY 10990
Physical Therapist
214 WEST ST
WARWICK, NY 10990
Clinical Exercise Physiologist
214 WEST ST
WARWICK, NY 10990
Family Medicine
214 WEST ST
WARWICK, NY 10990
Physical Therapist
214 WEST ST
WARWICK, NY 10990
Physical Therapy Assistant
214 WEST ST
WARWICK, NY 10990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn Rola's NPI number?

The NPI number for Katelyn Rola is 1114789534. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Katelyn Rola located?

Katelyn Rola practices at 214 West St, Warwick, NY 10990. The listed phone number is (551) 497-0433.

What is Katelyn Rola's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katelyn Rola enrolled in Medicare?

No. Katelyn Rola has opted out of Medicare through February 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katelyn Rola was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.