Individual provider Active NPI

Stephen Roser, LCSW

  • Clinical Social Worker
  • Wichita Falls, TX
National Provider Identifier
1699189217
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14480 Issued in LA
Practice address
1808 Rose St
Wichita Falls, TX 76301-4219
Phone
(940) 723-4480
Fax
(940) 723-0446
NPI assigned
Jun 12, 2014
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14480 LA Primary

Addresses

Primary practice location

1808 Rose St
Wichita Falls, TX 76301-4219

Mailing address

1808 Rose St
Wichita Falls, TX 76301-4219
Phone (940) 723-4480

Other practice location 1

28315 S Frost Rd
Livingston, LA 70754-2612
Phone (225) 283-1356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, OR, AZ, PA, NV5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220930000931 LA Practitioner - Clinical Social Worker 0840514519 Reassigns benefits to 3 organizations
I20230316002422 OR Practitioner - Clinical Social Worker 0840514519 Reassigns benefits to 2 organizations
I20230425001955 AZ Practitioner - Clinical Social Worker 0840514519 Reassigns benefits to 2 organizations
I20230815000413 PA Practitioner - Clinical Social Worker 0840514519 Reassigns benefits to 1 organization
I20250417000434 NV Practitioner - Clinical Social Worker 0840514519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10575 Dodger Dr
Denham Springs, LA 70726-1856

1099 18TH St
Suite 2350
Denver, CO 80202-1926

2261 Market St
San Francisco, CA 94114-1612

66 E Flagler St
Miami, FL 33130-1807

PO Box
Suite 395
Clinton, LA 70722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Mar 29, 2023 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Oct 17, 2022 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Apr 2, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 7, 2025 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Oct 17, 2022 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Current Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

2901 Ridgelake Dr
Ste 104
Metairie, LA 70002
Phone (504) 350-2750

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Interoperability endpoints

  • Direct secure messaging: stephen.roser.p1@direct.rkmprimarycare.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1699189217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ROSE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014219",
            "telephone_number": "940-723-4480",
            "fax_number": "940-723-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ROSE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014219",
            "telephone_number": "940-723-4480",
            "fax_number": "940-723-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28315 S Frost Rd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "LA",
            "postal_code": "707542612",
            "country_code": "US",
            "telephone_number": "225-283-1356",
            "fax_number": "225-686-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSER",
        "first_name": "STEPHEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.