Provider Demographics
NPI:1316962426
Name:ROLLISON, MARGARET HOMAN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:HOMAN
Last Name:ROLLISON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13438 BUCHANAN DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2904
Mailing Address - Country:US
Mailing Address - Phone:301-292-2181
Mailing Address - Fax:
Practice Address - Street 1:10905 FORT WASHINGTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5843
Practice Address - Country:US
Practice Address - Phone:301-292-3994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01723104100000X
DCLC300331104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD016789N75Medicare ID - Type UnspecifiedMEDICARE