Roxanne Marie Guenther, LCSW, SASA
Individual provider Active NPI Clinical Social Worker · Elm Grove, WI
NPI 1235124173 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1235124173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7037-123 (WI)
- Practice address
- 12970 W Bluemound Rd
Suite 308
Elm Grove, WI 53122-2607 - Phone
- (262) 780-1020
- Fax
- (262) 780-1022
- NPI assigned
- Sep 16, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13082 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13082 | WI | |
| Clinical Social Worker | 1041C0700X | 7037-123 | WI | Yes |
Addresses
Primary practice location
12970 W Bluemound Rd
Suite 308
Elm Grove, WI 53122-2607
Mailing address
12970 W Bluemound Rd Ste 200
Elm Grove, WI 53122-2607
Phone (262) 780-1020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13082 | Other | WI | CADC-D |
| 7037-123 | Other | WI | LCSW |
| 40949900 | Medicaid | WI |
Other providers in Elm Grove, WI
- Greater Milwaukee Therapy Services LLC
- Gary R Gregg
- Jamie L Greisinger
- Grey Matters Counseling LLC
- Tammy M Groszczyk
- Gundersen Lutheran Medical Center Inc
- Erica Leigh Gutierrez
- Angela Denise Harris
- Kevin A Harry
- Christine Haselhorst
All providers in Elm Grove, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.