LISA ROTELLA – Clinical Social Worker, NPI 1174943815

LISA ROTELLA is a healthcare provider. based in Ponte vedra beach, Florida. specializing in CLINICAL SOCIAL WORKER. The NPI Number for LISA ROTELLA is 1174943815

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
LISA ROTELLA
NPI
1174943815
Phone
(610) 331-2645
Address
437 S MILL VIEW WAY
Enumeration Date
21 April 2014
Last Update Date
17 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045436055
Graduation Year
2013 (13 years ago)
PAC ID
6406141043
Professional Enrollment ID
I20160822002780
Address ID
FL322172103JA3733XWXXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:12State licenses:0Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

Provider Addresses for LISA ROTELLA

  • 437 S MILL VIEW WAY

    PONTE VEDRA BEACH, FL 320825106

    Phone: (610) 331-2645

    Type: Mailing

  • 3004 3RD ST S

    JACKSONVILLE BEACH, FL 322506033

    Phone: (904) 543-6055

    Type: Location

  • 6652 EPPING FOREST WAY N

    JACKSONVILLE, FL 322172648

    Phone: (610) 331-2645

    Type: Mailing

  • 3733 UNIVERSITY BLVD W STE 209

    JACKSONVILLE, FL 322172103

    Phone: (904) 543-6055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160822002780IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour59245$0
View full utilization report →

Insurance plans in this area (ZIP 32082)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA ROTELLA?
LISA ROTELLA — NPI 1174943815 — is the standard way to identify this listing.
Is LISA ROTELLA listed as active for patients and plans?
The listing shows LISA ROTELLA as active in the NPI system.
What is LISA ROTELLA's primary classification?
Clinical Social Worker is the headline specialty for LISA ROTELLA here. Clinical services aligned with this taxonomy classification.
What area does LISA ROTELLA serve?
LISA ROTELLA's listing highlights Ponte Vedra Beach, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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