| Misty Roeder, LCSW | |
|
100 Executive Park Ste 103, Louisville, KY 40207-4201 | |
| (888) 585-8434 | |
| (216) 456-8128 |
| Full Name | Misty Roeder |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 14 Years |
| Location | 100 Executive Park Ste 103, Louisville, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598023731 | NPI | - | NPPES |
| 7100679350 | Medicaid | KY | |
| 255040 | Other | KY | KENTUCKY SOCIAL WORK BOARD LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 255040 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychological And Behavioral Consultants Llc | 0446243760 | 595 |
| Entity Name | Psychological & Behavioral Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20160926002081 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Roeder, LCSW 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (888) 585-8434 | Misty Roeder, LCSW 100 Executive Park Ste 103, Louisville, KY 40207-4201 Ph: (888) 585-8434 |
Jennifer L Buckland-stern, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Dsi, 635 S. Third St., Louisville, KY 40202 Phone: 502-561-1314 Fax: 502-561-1840 |
Cha'reme Poynter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1028 Barret Ave, Louisville, KY 40204 Phone: 502-451-1221 |
Joseph D'ambrosio, PHD, LCSW, LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4601 S 6th St, Louisville, KY 40214 Phone: 502-791-6090 |
Julie Eifler Corbett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10101 Linn Station Rd Ste 600, Louisville, KY 40223 Phone: 502-589-8600 Fax: 502-287-0062 |
Shaquilla N Cooper, DSW, TCM, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1828 Bolling Ave, Louisville, KY 40210 Phone: 502-536-7245 Fax: 502-963-5135 |
Mary O'shea, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1169 Eastern Pkwy Ste 1166, Louisville, KY 40217 Phone: 502-451-8262 |
Ms. Lisa Shapiro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8135 New Lagrange Rd, Louisville, KY 40222 Phone: 502-451-7602 |