Active NPI
Emily Marie Roxberry, LCSW
- Clinical Social Worker
- Great Cacapon, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW018965
- Practice address
- 2975 Detour Rd
Great Cacapon, WV 25422-3105 - Phone
- (610) 750-0326
- NPI assigned
- Dec 3, 2012
- Last updated
- Mar 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790020782 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MA, FL, WV, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904019956 | VA | MD | Clinical Social Worker |
| DP00946299 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Philadelphia Health Action Inc. | Single Specialty | Current | Accepting new patients |
| Community Healthlink, Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Greater Philadelphia Health Action, Inc. | Current | Accepting new patients | |
| GR&W, Inc | Single Specialty | Current | Accepting new patients |
| Valera Medical, P.C. | Social Worker | Current | Accepting new patients |
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Community Healthlink Inc | Single Specialty | Current | Accepting new patients |
| GR&W, Inc | Past | 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.
-
dba GR&W Harmony
- Clinical Neuropsychologist
- Morgantown, WV
- NPI 1407192024
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1649293028
Single Specialty
-
dba GPHA Woodland Ave. Behavioral Healthcare
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1205140902
Single Specialty
-
- Community Health Clinic/Center
- Worcester, MA
- NPI 1235387879
-
dba GPHA - Carl Moore Health Center
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1609321041
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1275151607
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
- NPI 1992665723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.