Kathleen R Rothmeyer, MSW,CADC III, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

246-123 Issued in WI

Practice address

4810 Northwestern Ave
Racine, WI 53406-1504

Phone

(262) 637-9984

Fax

(262) 637-9995

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1699817023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 NORTHWESTERN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534061504",
            "telephone_number": "262-637-9984",
            "fax_number": "262-637-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 NORTHWESTERN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534061504",
            "telephone_number": "262-637-9984",
            "fax_number": "262-637-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMEYER",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "credential": "MSW,CADC III, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "289",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "289-132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "246-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39560300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Alan Rosenberg, OD
• Daniel B. Ross, M.D.
• Jennifer L Rossmann, MS, LPC-IT
• Kelli Nicole Rossmann, PTA
• Klea Rota, DDS
• Royalrespite
• Cory M Rozewicz, RDH
• Angela Ruesch, RN
• Beth Ruffalo
• Amy Kathleen Ruffolo, PHARMD

• Clinical Social Worker in Racine, WI
• Providers in Racine, 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 Sep 23, 2010; 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.