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MS. JAN ROLL-MEDEROS M.S.W.
NPI 1750341996
Social Worker - Clinical in Jamaica Plain, MA

Active since March 23, 2006PECOS Enrolled
86 FOREST HILLS ST, JAMAICA PLAIN, MA 02130(617) 524-2415(617) 524-7717 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jan Roll-mederos M.s.w. NPPES

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

MS. JAN ROLL-MEDEROS M.S.W. (NPI 1750341996) is an individual clinical provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (105053) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750341996
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JAN ROLL-MEDEROSCredential: M.S.W.
Location Address86 FOREST HILLS STJamaica Plain, MA 02130-2935
Mailing Address86 Forest Hills StJamaica Plain, MA 02130-2935 · (617) 524-2415 · Fax (617) 524-7717
Phone(617) 524-2415
Fax(617) 524-7717
Sole ProprietorYes
Enumeration DateMarch 23, 2006
Last NPPES UpdateDecember 5, 2012
✔ NPI 1750341996 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 MA · 105053
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.
86 FOREST HILLS ST, Jamaica Plain, MA 02130
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Other Identifiers 6

OtherP04867MA · Blue Cross Blue Shield Ma
Medicare ID-Type UnspecifiedP22420MA
Other110286000MA · Magellan Behavioral Healt
Medicaid1891260MA
Medicaid1852094MA
Other1019670MA · Neighborhood Health Plan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jan Roll-mederos M.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jan Roll-mederos's NPI number?

The NPI number for Jan Roll-mederos is 1750341996. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Jan Roll-mederos located?

Jan Roll-mederos practices at 86 Forest Hills St, Jamaica Plain, MA 02130. The listed phone number is (617) 524-2415.

What is Jan Roll-mederos's specialty?

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

Is Jan Roll-mederos enrolled in Medicare?

Yes. Jan Roll-mederos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jan Roll-mederos was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.