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MS. KIM CHRISTINE ROSER-KEDWARD LCSW
NPI 1750417952
Social Worker - Clinical in San Diego, CA

Active since February 24, 2007PECOS EnrolledAccepts Medicare Assignment
4075 PARK BLVD, STE 102-212, SAN DIEGO, CA 92103(619) 379-7450 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2020, Dec 11, 2015 (2 updates tracked since 2015).

About Ms. Kim Christine Roser-kedward Lcsw NPPES

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

MS. KIM CHRISTINE ROSER-KEDWARD LCSW (NPI 1750417952) is an individual clinical provider in San Diego, California, licensed in California (LCS22405) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1750417952
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KIM CHRISTINE ROSER-KEDWARDCredential: LCSW
Location Address4075 PARK BLVD, STE 102-212San Diego, CA 92103-2670
Mailing AddressPo Box 16597San Diego, CA 92176-6441 · (619) 379-7450
Phone(619) 379-7450
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 24, 2007
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1750417952 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 CA · LCS22405
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.
4075 PARK BLVD, San Diego, CA 92103
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Other Names 1

Former Name (1)Ms. Kim Christine Roser Lcsw

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. Kim Christine Roser-kedward 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 ID446202691
PECOS Enrollment IDI20050215001092
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 92103 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 Kim Roser-kedward's NPI number?

The NPI number for Kim Roser-kedward is 1750417952. It was assigned to this individual provider in the NPPES registry on February 24, 2007. The provider is also known as Ms. Kim Christine Roser Lcsw.

Where is Kim Roser-kedward located?

Kim Roser-kedward practices at 4075 Park Blvd Ste 102-212, San Diego, CA 92103. The listed phone number is (619) 379-7450.

What is Kim Roser-kedward's specialty?

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

Is Kim Roser-kedward enrolled in Medicare?

Yes. Kim Roser-kedward 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 Kim Roser-kedward was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.