Summer C Roth, MSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRELICENSED

Practice address

266 33Rd Ave S Ste 10
Saint Cloud, MN 56301-4684

Phone

(320) 251-0035

Fax

(320) 251-0209

NPI assigned

Jul 22, 2022

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sobriety First Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Saint Cloud, MN
  • NPI 1902560873
  NPD

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1730814781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 33RD AVE S STE 10",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014684",
            "telephone_number": "320-251-0035",
            "fax_number": "320-251-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 33RD AVE S STE 10",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014684",
            "telephone_number": "320-251-0035",
            "fax_number": "320-251-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "SUMMER",
        "middle_name": "C",
        "credential": "MSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "PRELICENSED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalie Ross
• Shannon Lee Rossberg, LPN
• Judy Ann Rossel, FNP
• Jennifer Roth, PSY.D.
• Mariah Roth, DPT
• Jessica Rothstein, PHARMD
• Julia Rotter
• Paula Kay Rouland, LADC
• Gregory R. Rouw, D.P.M.
• Karenthea W. Rouw, D.P.M.

• Clinical Social Worker in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.