Provider Demographics
NPI:1972490076
Name:ROLLAND, MARIA KATHLEEN (LCSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:KATHLEEN
Last Name:ROLLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:KATHLEEN
Other - Last Name:PORCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8550 AVENS CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-5711
Mailing Address - Country:US
Mailing Address - Phone:314-238-6805
Mailing Address - Fax:
Practice Address - Street 1:300 GARDEN OF THE GODS RD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4248
Practice Address - Country:US
Practice Address - Phone:719-301-9858
Practice Address - Fax:719-314-1719
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099318571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical