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MS. KATHRYN A ROTH LICSW
NPI 1720112642
Social Worker - Clinical in Providence, RI

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
475 HOPE ST, PROVIDENCE, RI 02906(401) 273-2099 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathryn A Roth Licsw NPPES

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

MS. KATHRYN A ROTH LICSW (NPI 1720112642) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW00647) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1720112642
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATHRYN A ROTHCredential: LICSW
Location Address475 HOPE STProvidence, RI 02906-1639
Mailing Address475 Hope StProvidence, RI 02906-1639 · (401) 273-2099
Phone(401) 273-2099
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 5, 2013
✔ NPI 1720112642 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 RI · ISW00647
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.
475 HOPE ST, Providence, RI 02906
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Other Identifiers 2

Medicare ID-Type Unspecified809003437RI · Medicare #
Other3437-7RI · Bcbs Provider Id #

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

Ms. Kathryn A Roth Licsw 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 ID9335190305
PECOS Enrollment IDI20050309000937
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 02906 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 $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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 Kathryn Roth's NPI number?

The NPI number for Kathryn Roth is 1720112642. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Kathryn Roth located?

Kathryn Roth practices at 475 Hope St, Providence, RI 02906. The listed phone number is (401) 273-2099.

What is Kathryn Roth's specialty?

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

Is Kathryn Roth enrolled in Medicare?

Yes. Kathryn Roth 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.

When was this NPI record last updated?

The NPPES record for Kathryn Roth was last updated on August 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.