Individual provider Active NPI

Roxanne V Kalch, LCSW, LAC

  • Clinical Social Worker
  • Cape Coral, FL
National Provider Identifier
1043371768
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16346 Issued in FL
Practice address
2721 Del Prado Blvd S Ste 200
Cape Coral, FL 33904
Phone
(239) 673-9034
Fax
(239) 673-9102
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 86000172A IN
Social Worker 104100000X 33005112A IN
Clinical Social Worker 1041C0700X 34006093A IN
Clinical Social Worker 1041C0700X SW16346 FL Primary

Addresses

Primary practice location

2721 Del Prado Blvd S Ste 200
Cape Coral, FL 33904

Mailing address

6360 Techster Blvd Ste 1
Fort Myers, FL 33966-4805
Phone (239) 223-2751

Other practice location 1

250 N Main St
Crown Point, IN 46307-3278
Phone (219) 663-6353

Other practice location 2

250 N Main St
Crown Point, IN 46307-3278
Phone (219) 663-6353

Other identifiers 3

IdentifierTypeStateIssuer
000000392863OtherINANTHEM
600018-064OtherINMAGELLAN
200479690OtherINMEDICAID SED WAIVER

Other names 1

  • Roxanne V Felton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000170 FL Practitioner - Clinical Social Worker 3577787985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5783
Phone (239) 673-9034

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86000172AINMDAddiction (Substance Use Disorder) Counselor
33005112AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Jul 5, 2019 Accepting new patients
Dna Comprehensive Therapy Services, LLC Clinical CurrentSince Jul 5, 2019 Accepting new patients

Locations

418 SW 47th Ter
Cape Coral, FL 33914
Phone (239) 673-9034

2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677

6360 Techster Blvd
Ste 1
Fort Myers, FL 33966
Phone (238) 223-2751

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

Interoperability endpoints

  • Direct secure messaging: roxanne.kalch.1@13142.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1043371768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 TECHSTER BLVD STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664805",
            "telephone_number": "239-223-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 DEL PRADO BLVD S STE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33904",
            "telephone_number": "239-673-9034",
            "fax_number": "239-673-9102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463073278",
            "country_code": "US",
            "telephone_number": "219-663-6353",
            "fax_number": "219-663-6155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 N Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463073278",
            "country_code": "US",
            "telephone_number": "219-663-6353",
            "fax_number": "219-663-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALCH",
        "first_name": "ROXANNE",
        "middle_name": "V",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "86000172A",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33005112A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006093A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000392863",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600018-064",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SED WAIVER",
            "identifier": "200479690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "FELTON",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.