Kelly Rothert, Lisw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1502355 Issued in OH

Legal business name

KELLY ROTHERT, LISW, LLC

Practice address

4041 N High St
Suite 402a
Columbus, OH 43214-3253

Phone

(614) 787-5565

Fax

(844) 335-1293

NPI assigned

Jun 23, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Jones

Title

Billing Admin

Phone

(614) 864-9560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Vaiden Rothert, MSW, LSW

  • Social Worker
  • Dublin, OH
  • NPI 1427490960
  Medicare reassignment NPD

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1851742597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST",
            "address_2": "SUITE 402A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143253",
            "telephone_number": "614-787-5565",
            "fax_number": "844-335-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST",
            "address_2": "SUITE 402A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143253",
            "telephone_number": "614-787-5565",
            "fax_number": "844-335-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ROTHERT, LISW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "614-864-9560"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1502355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Kellogg, FNP-C
• Misty Kylean Kellogg
• Courtney Danielle Kellum
• Kelly Chamlis Counseling LLC
• Kelly M. Weaver, PH.D., Inc.
• Allison Zara Kelly, NNP-BC
• Ashlee Kelly
• Ashley Kelly
• Brendan Kelly, DO
• Brian R. Kelly, M.D.

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.