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MARY ROTH LCSW
NPI 1669790580
Social Worker - Clinical in Carmel, IN

Active since May 17, 2010PECOS Enrolled
703 PRO-MED LN, CARMEL, IN 46032(317) 843-9922(317) 581-3918 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Roth Lcsw NPPES

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

MARY ROTH LCSW (NPI 1669790580) is an individual clinical provider in Carmel, Indiana, licensed in Indiana (34000948A) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669790580
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ROTHCredential: LCSW
Location Address703 PRO-MED LNCarmel, IN 46032-5317
Mailing Address703 Pro-med LnCarmel, IN 46032-5317 · (317) 843-9922 · Fax (317) 581-3918
Phone(317) 843-9922
Fax(317) 581-3918
Sole ProprietorNo
Enumeration DateMay 17, 2010
Last NPPES UpdateAugust 31, 2016
✔ NPI 1669790580 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 IN · 34000948A
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.
703 PRO-MED LN, Carmel, IN 46032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Roth Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46032 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

MRS. SUSAN LYNN GLASSBURN LCSW
Social Worker (Clinical)
703 PRO-MED LN, SUITE 200
CARMEL, IN 46032
Hamilton County (317) 843-9922
MRS. CONNIE SUE KENDALL
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
703 PRO-MED LN, SUITE 200
CARMEL, IN 46032
Hamilton County (317) 843-9922
DR. DANITA LYNN LIVELY MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 844-0055
MICHAEL A WEBBER MD
Psychiatry & Neurology (Psychiatry)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
DR. SANJAY MISHRA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
JENNIFER JANSEN LCSW
Social Worker (Clinical)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
WILLIAM BAILEY JONES III M.D.
Psychiatry & Neurology (Psychosomatic Medicine)
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922
KATHLEEN ATWATER
Marriage & Family Therapist
703 PRO-MED LN
CARMEL, IN 46032
Hamilton County (317) 843-9922

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 Mary Roth's NPI number?

The NPI number for Mary Roth is 1669790580. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Mary Roth located?

Mary Roth practices at 703 Pro-Med Ln, Carmel, IN 46032. The listed phone number is (317) 843-9922.

What is Mary Roth's specialty?

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

Is Mary Roth enrolled in Medicare?

Yes. Mary Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Roth was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.