Roxann Pazdera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130818-121 Issued in WI

Practice address

2149 Velp Ave Ste 400B
Green Bay, WI 54303-5424

Phone

(920) 679-4996

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oneida Nation

  dba Ka Ni Kuhli Yo Family Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Green Bay, WI
  • NPI 1205825130
  NPD (past)

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1265216964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GEORGE ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152917",
            "telephone_number": "920-679-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 VELP AVE STE 400B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543035424",
            "telephone_number": "920-679-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Saint Joseph St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543012241",
            "country_code": "US",
            "telephone_number": "920-404-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZDERA",
        "first_name": "ROXANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "130818-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "130818-121",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy S Pavek, M.D.
• Michelle M. Pavlat, D.C.
• Paye Eye Care Center SC
• Randall J Paye, O.D.
• Josh Payne, PTA
• Kerry Jo Pearce, DPT
• Kendra Oswald Pearson, MPT
• Amanda Pecha, LCSW, CSAC, CSIT
• Kenneth Joseph Pechman, M.D.
• Brenda Lee Peebles, PTA

• Clinical Social Worker in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.