Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Roxana Marisol Servellon, LCSW, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477958676

Miss. Roxana Marisol Servellon, LCSW, CASAC is a Clinical Social Worker in Roslyn, New York. Qualified in 2003, 23 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

15 Bryant Ave
Roslyn, NY 11576-1134
Phone: (516) 547-8610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 084222 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2-22379 (NY)

Record details

NPI number1477958676
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CASAC
Sole proprietorYes
NPI enumeratedOctober 30, 2014
Last updated in NPPESJune 23, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roslyn