Katty Matilde Rozok, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8861737 Issued in ID

Practice address

212 N 1St Ave Ste 3-2
Sandpoint, ID 83864-1436

Phone

(208) 626-9638

NPI assigned

May 18, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Renew Counseling & Psychotherapy, PLLC

  • Clinical Social Worker
  • Sandpoint, ID
  • NPI 1326861782
  NPD Authorized official

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1679210868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N 1ST AVE STE 3-2",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641436",
            "telephone_number": "208-626-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 1ST AVE STE 3-2",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641436",
            "telephone_number": "208-626-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZOK",
        "first_name": "KATTY",
        "middle_name": "MATILDE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8861737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Roffino, LMT
• Kendal Roos, PHARMD
• Rooted Wellness Therapy, PLLC
• Michael P Rosenkranz, MD
• Janice Carol Rothmeyer, LCPC
• Deborah D Ruehle, M.P.T.
• Cynthia Denise Ruguleiski, LCSW
• Dante Sandro Rumore, LICSW
• Paul Gerald Rumore, M.D.
• Rurban PLLC

• Clinical Social Worker in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; 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.