Yulia Roe, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4265C Issued in AL

Practice address

1301 N Warehouse Rd
Fort Leavenworth, KS 66027-2364

Phone

(404) 314-1820

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1841825643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 NW 62ND CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512456",
            "telephone_number": "404-314-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N WAREHOUSE RD",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272364",
            "telephone_number": "404-314-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "YULIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019036900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014825",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4265C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lerida A Reyes Velez, LMT
• Matthew Sprague Rice, MD
• Rachel Roberts, RDN
• Holly Denise Robinson
• Rachel Caroline Rodriguez, DSC, APA-C
• Angela Renee Rogers, PSY.D.
• Nathan Rohling, D.O.
• Lynne Judith Rosin, LPN
• Carson Henry Rowell, M.D.
• James Lawrence Sall, FNP

• Clinical Social Worker in Fort Leavenworth, KS
• Providers in Fort Leavenworth, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.