Jessica A Roeseler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011016671

Practice address

4326 Lindell Blvd
Saint Louis, MO 63108-2702

Phone

(314) 533-2229

Fax

(314) 533-0647

NPI assigned

Jul 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Our Little Haven

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1629141742
  NPD (past)

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1972891521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082702",
            "telephone_number": "314-533-2229",
            "fax_number": "314-533-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082702",
            "telephone_number": "314-533-2229",
            "fax_number": "314-533-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROESELER",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2011016671",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "2011016671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2011016671",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Roelk, PH.D., LP
• Lisa Marie Roelle, PA
• Elizabeth Roellig
• Kathleen Roepke
• Cara Roesch, MPT
• Amy Roessler
• Angela Kay Roethemeyer, ANP
• Janelle Roethemeyer, M.D.
• John D Rogakos, MD
• Courtney Deann Rogan

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.