JOANNE THERESE ROTH (LMSW) – Clinical Social Worker, NPI 1679672570

Clinical Social Worker

JOANNE THERESE ROTH (LMSW) is a healthcare provider. based in Detroit, Michigan. specializing in Clinical Social Worker. They hold the professional credentials LMSW. They hold a License No. 6801011882 (MI). The NPI Number for JOANNE THERESE ROTH (LMSW) is 1679672570

Main info

Female

50 Years Of Experience

Accepts Medicare Assignment

Name

JOANNE THERESE ROTH (LMSW)

NPI

1679672570

Phone

(313) 886-3811

Address

4212 KENSINGTON AVE

Enumeration Date

21 September 2006

Last Update Date

17 October 2017

Doctor Profile

Medical School Name

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

5864452210

Graduation Year

1976 (50 years ago)

PAC ID

1850324237

Group Practice PAC ID

2163324492

Professional Enrollment ID

I20050915000821

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience66

Completeness75

Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for JOANNE THERESE ROTH (LMSW)

4212, Kensington Avenue, Eastern Heights Land Co, Detroit, Wayne County, Michigan, 48224, United States
DETROIT, MI 482242769
Phone: (313) 886-3811
Type: Mailing
Harper Avenue, Saint Clair Shores, Macomb County, Michigan, 48036, United States
SAINT CLAIR SHORES, MI 480801823
Phone: (586) 445-2210
Fax: (580) 445-0700
Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 48224)

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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: 2163324492View full group profile

Name	Specialty	State
STEPHANI MCISAAC (LMSW)	Clinical Social Worker	MI
MS. LAUREN HYDE SWANSON (LMSW)	Clinical Social Worker	MI
JANE K RYAN (LMSW)	-	MI
MR. CHARLES SONNY SR. PHIPPS (LMSW)	-	MI
BRITTANY STEWART (LMSW)	-	MD
MS. ELIZABETH ANN JANKS (LMSW)	-	MI
DAVID CASTINE (LMSW, LMFT)	-	MI
JERALD DUNGY (LPC)	Mental Health Counselor	MI
CARISSA KARANTH (LPC)	Mental Health Counselor	MI
Unknown Individual	-	MI