Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISTY ROEDER LCSW
NPI 1598023731
Social Worker - Clinical in Louisville, KY

Q: What is Misty Roeder's NPI number?

The NPI number for Misty Roeder is 1598023731. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Q: What is Misty Roeder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Roeder was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment

100 EXECUTIVE PARK STE 103, LOUISVILLE, KY 40207(888) 585-8434(216) 456-8128 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Jul 31, 2020, Jul 23, 2020 (3 updates tracked since 2020).

On this page

About Misty Roeder Lcsw NPPES

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

MISTY ROEDER LCSW (NPI 1598023731) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (255040) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1598023731

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISTY ROEDERCredential: LCSW

Location Address100 EXECUTIVE PARK STE 103Louisville, KY 40207-4201

Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (888) 585-8434 · Fax (216) 456-8128

Phone(888) 585-8434

Fax(216) 456-8128

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 25, 2012

Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1598023731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 255040

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.

100 EXECUTIVE PARK STE 103, Louisville, KY 40207

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Other Identifiers 2

Other255040KY · Kentucky Social Work Board Lcsw

Medicaid7100679350KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Misty Roeder Lcsw 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 ID8325463482

PECOS Enrollment IDI20200806000879

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

33 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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 $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 14

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

DR. ZACHARY CLAYBORNE DIETRICH PSY.D.

Psychologist