Active NPI
Katherine Margaret Roth, LCSW
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1316290372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13287
- Practice address
- 4100 W Kennedy Blvd
Suite 326
Tampa, FL 33609-2288 - Phone
- (248) 761-3284
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13287 | FL | Primary |
Addresses
Primary practice location
4100 W Kennedy Blvd
Suite 326
Tampa, FL 33609-2288
Mailing address
4100 W Kennedy Blvd
Suite 326
Tampa, FL 33609-2288
Phone (248) 761-3284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW13287 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowered Life LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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": "1350345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1316290372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 W KENNEDY BLVD",
"address_2": "SUITE 326",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092288",
"telephone_number": "248-761-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W KENNEDY BLVD",
"address_2": "SUITE 326",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092288",
"telephone_number": "248-761-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "KATHERINE",
"middle_name": "MARGARET",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-16",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.