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

MS. Charlesetta Rolack, LICSW

Individual provider Clinical Social Worker · NPI 1083868970

MS. Charlesetta Rolack, LICSW is a Clinical Social Worker in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2100 Wilson Ave
Saint Paul, MN 55119-4034
Phone: (651) 771-1301
Fax: (651) 771-2542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18701 (MN)

Record details

NPI number1083868970
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 5, 2008
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address2100 Wilson Ave, Saint Paul, MN 55119-4034

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