Active NPI
Jeffrey D Roth, LMSW
- Clinical Social Worker
- Hutchinson, KS
National Provider Identifier
1699862219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW6483
- Practice address
- 333 N Washington
Ste 260
Hutchinson, KS 67501 - Phone
- (620) 662-4700
- Fax
- (620) 622-4757
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 | LMSW6483 | KS | Primary |
Addresses
Primary practice location
333 N Washington
Ste 260
Hutchinson, KS 67501
Mailing address
609 Clover Lane
Hesston, KS 67062
Phone (316) 650-8035
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 |
|---|---|---|---|
| LMSW6483 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699862219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 CLOVER LANE",
"city": "HESSTON",
"state": "KS",
"postal_code": "67062",
"telephone_number": "316-650-8035",
"fax_number": "620-667-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N WASHINGTON",
"address_2": "STE 260",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "67501",
"telephone_number": "620-662-4700",
"fax_number": "620-622-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "JEFFREY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "LMSW6483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.