JOHN ROHERTY LCSW, MSW
NPI 1194507558
Social Worker - Clinical in Wausau, WI

Active since October 19, 2023PECOS EnrolledAccepts Medicare Assignment
630 S 36TH AVE, WAUSAU, WI 54401(715) 842-9500 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Roherty Lcsw, Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN ROHERTY LCSW, MSW (NPI 1194507558) is an individual clinical provider in Wausau, Wisconsin, licensed in Wisconsin (12148-123) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194507558
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN ROHERTYCredential: LCSW, MSW
Location Address630 S 36TH AVEWausau, WI 54401-3930
Mailing Address630 S 36th AveWausau, WI 54401-3930
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 19, 2023
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1194507558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 12148-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 134443-121 (WI)
630 S 36TH AVE, Wausau, WI 54401

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Roherty Lcsw, Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456881770
PECOS Enrollment IDI20250214002676
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
630 S 36TH AVE
WAUSAU, WI 54401
Speech-Language Pathologist
630 S 36TH AVE
WAUSAU, WI 54401
Counselor (Addiction (Substance Use Disorder))
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (Clinical)
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (School)
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist
630 S 36TH AVE
WAUSAU, WI 54401
Psychologist (School)
630 S 36TH AVE
WAUSAU, WI 54401
Counselor (Professional)
630 S 36TH AVE
WAUSAU, WI 54401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Roherty's NPI number?

The NPI number for John Roherty is 1194507558. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Where is John Roherty located?

John Roherty practices at 630 S 36th Ave, Wausau, WI 54401. The listed phone number is (715) 842-9500.

What is John Roherty's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Roherty enrolled in Medicare?

Yes. John Roherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Roherty accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica, Quartz and Security Health Plan and 1 other insurer list John Roherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Roherty was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.