Mary Lee Roske-groth, LICSW, LADC is a
Social Worker - Clinical based in Minneapolis, Minnesota. Mary Lee Roske-groth is licensed to practice in Minnesota (license number 14998) and her current practice location is
410 Church St Se, Boynton Health Service, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 624-1444.
NPI number for Mary Lee Roske-groth is 1194897652 and her current mailing address is 410 Church St Se, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194897652.
Healthcare Provider's Profile
| Full Name | Mary Lee Roske-groth |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 410 Church St Se, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194897652
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 08/25/2010
Medical Identifiers
Medical identifiers for Mary Lee Roske-groth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194897652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300299 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14998 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Lee Roske-groth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Lee Roske-groth, LICSW, LADC
410 Church St Se,
Minneapolis, MN 55455-0340
Ph: (612) 624-7172 | Mary Lee Roske-groth, LICSW, LADC
410 Church St Se, Boynton Health Service,
Minneapolis, MN 55455-0340
Ph: (612) 624-1444 |
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