GRETCHEN A ROOF – Clinical Social Worker, NPI 1700949849

GRETCHEN A ROOF is a healthcare provider. based in Paducah, Kentucky. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 0939 (KY). The NPI Number for GRETCHEN A ROOF is 1700949849

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
GRETCHEN A ROOF
NPI
1700949849
Phone
Not provided
Address
425 BROADWAY
Enumeration Date
19 December 2006
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
2062609860
Group Practice PAC ID
0446154587
Professional Enrollment ID
I20101206000929
Address ID
KY420010713Pa425XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,195 CLINICAL SOCIAL WORKER in KY

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Provider Addresses for GRETCHEN A ROOF

  • Four Rivers Behavioral Health, 425, Broadway Street, Paducah, McCracken County, Kentucky, 42001, United States

    PADUCAH, KY 42001

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101206000929IClinical Social WorkerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446154587View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
Mental Health CounselorKY
-KY
-KY
Clinical Social WorkerKY
-KY
Mental Health CounselorKY
Mental Health CounselorKY
Clinical Social WorkerKY
Mental Health CounselorKY

Reviews

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Frequently asked questions

Can I cross-check GRETCHEN A ROOF using NPI 1700949849?
NPI 1700949849 belongs to GRETCHEN A ROOF; compare other details if you need extra assurance.
Active or inactive — what applies to GRETCHEN A ROOF?
You should see GRETCHEN A ROOF as active in CMS-hosted NPPES data.
What area of care is associated with GRETCHEN A ROOF?
GRETCHEN A ROOF's record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with GRETCHEN A ROOF?
Directory geography for GRETCHEN A ROOF centers on Paducah, Kentucky.
When was this NPI issued?
Enumeration for GRETCHEN A ROOF is noted as December 19, 2006 where the registry provides it.

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