MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) – Clinical Social Worker, NPI 1013074954

MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) is a healthcare provider. based in Puyallup, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW, CDP. They hold a License No. CP60106906 (WA). The NPI Number for MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) is 1013074954

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP)
NPI
1013074954
Phone
(253) 697-8400
Address
325 E PIONEER
Enumeration Date
2 January 2007
Last Update Date
11 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2533727788
Graduation Year
2005 (21 years ago)
PAC ID
1850422213
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20100629000145
Address ID
WA980304544KE222XXNXXX400
Telehealth
Yes
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

1,396 CLINICAL SOCIAL WORKER in WA

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Provider Addresses for MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP)

  • 325, West Pioneer Avenue, Puyallup, Pierce County, Washington, 98371, United States

    PUYALLUP, WA 983723265

    Phone: (253) 697-8400

    Fax: (253) 697-8590

    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: 2010-06-29

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
I20100629000145IClinical Social WorkerWATBD

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 98372)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

Does MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) uses 1013074954.
Can I rely on MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) being an active provider?
As of the registry snapshot, MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) is marked active.
What is MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) best known for clinically?
Directory data describes MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP)?
MISS ROZA CATHRINA BOCKELMAN (LICSW, CDP)'s geographic hint is Puyallup, Washington in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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