Individual provider Active NPI

Emily Marie Roxberry, LCSW

  • Clinical Social Worker
  • Great Cacapon, WV
National Provider Identifier
1790020782
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018965 Issued in PA
Practice address
2975 Detour Rd
Great Cacapon, WV 25422-3105
Phone
(610) 750-0326
NPI assigned
Dec 3, 2012
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018965 PA Primary
Clinical Social Worker 1041C0700X 0904019956 VA
Clinical Social Worker 1041C0700X DP00946299 WV

Addresses

Primary practice location

2975 Detour Rd
Great Cacapon, WV 25422-3105

Mailing address

2975 Detour Rd
Great Cacapon, WV 25422-3105
Phone (610) 750-0326

Other identifiers 1

IdentifierTypeStateIssuer
1790020782MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA, FL, WV, DC5 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
I20181212001742 PA Practitioner - Clinical Social Worker 7214271600 Reassigns benefits to 2 organizations
I20220829000351 MA Practitioner - Clinical Social Worker 7214271600 Reassigns benefits to 3 organizations
I20240305001127 FL Practitioner - Clinical Social Worker 7214271600 Reassigns benefits to 1 organization
I20251010001047 WV Practitioner - Clinical Social Worker 7214271600 Reassigns benefits to 1 organization
I20260227000521 DC Practitioner - Clinical Social Worker 7214271600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

100 Cambridge St
FL 14
Boston, MA 02114-2509
Phone (617) 917-2389

1626 Locust St
Philadelphia, PA 19103-6305
Phone (215) 709-3177

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904019956VAMDClinical Social Worker
DP00946299WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action Inc. Single Specialty Current Accepting new patients
Community Healthlink, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 23, 2024 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Apr 11, 2025 Accepting new patients
GR&W, Inc Single Specialty CurrentSince Sep 29, 2025 Accepting new patients
Valera Medical, P.C. Social Worker CurrentSince Sep 22, 2025 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Apr 11, 2025 Accepting new patients
Community Healthlink Inc Single Specialty Current Accepting new patients
GR&W, Inc PastSince Sep 29, 2025 Accepting new patients

Locations

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

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

225 Cedar Hill St
Ste 200
Marlborough, MA 01752
Phone (617) 863-9090

12 Queen St
Worcester, MA 01610
Phone (508) 860-1036

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

1401 S 4th St
Philadelphia, PA 19147
Phone (215) 339-1070

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

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1 Kenton Dr
#200
Charleston, WV 25311
Phone (304) 408-3292

1 Kenton Dr
Ste 0
Charleston, WV 25311

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Organizations & group practices 9

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": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1790020782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 DETOUR RD",
            "city": "GREAT CACAPON",
            "state": "WV",
            "postal_code": "254223105",
            "telephone_number": "610-750-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 DETOUR RD",
            "city": "GREAT CACAPON",
            "state": "WV",
            "postal_code": "254223105",
            "telephone_number": "610-750-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROXBERRY",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018965",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019956",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00946299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790020782",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Cacapon, WV

Sources for this page

Verify at the official NPI Registry.