MEDICARE: MARGARET HOMAN ROLLISON MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	01723	MD
2	104100000X	Social Worker	LC300331	DC

General Provider Information

NPI Number	:	1316962426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET HOMAN ROLLISON MSW, LCSW

Provider Business Mailing Address
First Line	:	13438 BUCHANAN DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-2904
Country	:	US
Telephone Number	:	301-292-2181
Fax Number	:

Provider Business Practice Location Address
First Line	:	10905 FORT WASHINGTON RD
Second Line	:	SUITE 202
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5843
Country	:	US
Telephone Number	:	301-292-3994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

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