Individual provider Active NPI

Robin Janel Rooth-Fogel, LCSW

  • Clinical Social Worker
  • Coopersburg, PA
National Provider Identifier
1730299751
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014842 Issued in PA
Practice address
202 S. Third Street
Suite 1
Coopersburg, PA 18036
Phone
(610) 282-2015
Fax
(610) 282-2024
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 CW014842 PA Primary

Addresses

Primary practice location

202 S. Third Street
Suite 1
Coopersburg, PA 18036

Mailing address

202 S. Third Street
Suite 1
Coopersburg, PA 18036
Phone (610) 282-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061025000532 PA Practitioner - Clinical Social Worker 7911904495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

344 S 3Rd St
Suite 2
Coopersburg, PA 18036-2136
Phone (610) 282-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Rooth-Fogel, LCSW, LLC Clinical CurrentSince Dec 8, 2019 Accepting new patients

Locations

344 S 3rd St
Ste 2
Coopersburg, PA 18036
Phone (610) 282-2015

344 S 3rd St
Ste E
Coopersburg, PA 18036

202 S 3rd St
Ste 1
Coopersburg, PA 18036
Phone (610) 282-2015

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1730299751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S. THIRD STREET",
            "address_2": "SUITE 1",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "18036",
            "telephone_number": "610-282-2015",
            "fax_number": "610-282-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S. THIRD STREET",
            "address_2": "SUITE 1",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "18036",
            "telephone_number": "610-282-2015",
            "fax_number": "610-282-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOTH-FOGEL",
        "first_name": "ROBIN",
        "middle_name": "JANEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersburg, PA

Sources for this page

Verify at the official NPI Registry.