Kimberly D. Roth, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120906 Issued in MA

Practice address

16 Samoset St
Plymouth, MA 02360-4544

Phone

(508) 388-4211

NPI assigned

Aug 27, 2013

Last updated

Dec 13, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1962836932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "EAST FALMOUTH",
            "state": "MA",
            "postal_code": "025360696",
            "telephone_number": "508-388-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SAMOSET ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604544",
            "telephone_number": "508-388-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "KIMBERLY",
        "middle_name": "D.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason B. Rose, MS, RCEP
• Lorinda M Rose
• Samuel T Rosenbach, DPT
• Ross S Ajemian DDS
• Kara Hope Ross, MS CCC-SLP
• Victoria Roth, DC
• Abigail Caroline Roux, RN
• Ruth C. Rowbotham, PSY.D.
• Jacob Glenn Rowland, PT, DPT
• Sarah Royle

• Clinical Social Worker in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.