Tena Buell Roethle, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LGSW15242 Issued in MN

Practice address

400 Washington St # 229
Northfield, MN 55057-2027

Phone

(507) 222-9230

Fax

(952) 831-0033

NPI assigned

May 21, 2009

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

Other names 1

• Tena Buell Webster Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Tena Roethle

  • Clinical Social Worker
  • Northfield, MN
  • NPI 1104686849
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1821223793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST # 229",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572027",
            "telephone_number": "507-222-9230",
            "fax_number": "952-831-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WASHINGTON ST # 229",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572027",
            "telephone_number": "507-222-9230",
            "fax_number": "952-831-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROETHLE",
        "first_name": "TENA",
        "middle_name": "BUELL",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "LGSW15242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENA",
            "last_name": "WEBSTER",
            "middle_name": "BUELL",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• River Valley Eye Associates Inc. (River Valley Eye Professionals)
• River Valley Eye Associates, Inc (River Valley Eye Professionals)
• Ella Rivera
• Molly Meri Robinson, D.C.
• Nicole Susan Dahle Robinson, MS, RDN, LD
• Janice R Roetzel, ANP
• Katherine Elizabeth Rogers
• Mitchell Lee Rollie
• Abraham Jeremiah Rosas
• Amber Marie-Reilly Rose, MS, RDN, LDN

• Clinical Social Worker in Northfield, MN
• Providers in Northfield, 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 Mar 8, 2022; 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.

Verify at the official NPI Registry.