Kathryn E Roosevelt (NPI# 1467894055, PAC ID# 1658503727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1467894055 |
| PAC ID by PECOS | 1658503727 |
| Professional Enrollment ID | I20160222002376 |
| Full Name | Kathryn E Roosevelt |
| Organization Legal Name | CHANGES COUNSELING CENTER LLC |
| Address |
9279 Medical Plaza Dr Suite B2 North Charleston SC 29406-9141 |
| Phone Number | 8436197989 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3072895655 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9279 Medical Plaza Dr, Suite B2, North Charleston, SC 29406-9141 | 8436197989 | CHANGES COUNSELING CENTER LLC |
| Organization Legal Name | CHANGES COUNSELING CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonia M Cassaday | Clinical Social Worker | Changes Counseling Center LLC | 9279 Medical Plaza Dr, Suite B2, North Charleston, SC 29406-9141 |
| Steven Edward Mason | Clinical Social Worker | Changes Counseling Center LLC | 9279 Medical Plaza Dr, Suite B2, North Charleston, SC 29406-9141 |
| Street Address |
9279 MEDICAL PLAZA DR SUITE B2 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip | 29406-9141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Burgess Stroud | Obstetrics/gynecology | Coastal Carolina Primary Care, LLC | 9279 Medical Plaza Dr, Suite A, Charleston, SC 29406-9141 |
| Catherine Crosby | Nurse Practitioner | Coastal Carolina Primary Care, LLC | 9279 Medical Plaza Dr, Suite A, Charleston, SC 29406-9141 |
| Amy M Miller | Obstetrics/gynecology | Coastal Carolina Primary Care, LLC | 9279 Medical Plaza Dr, Suite A, Charleston, SC 29406-9141 |
| Tonia M Cassaday | Clinical Social Worker | Changes Counseling Center LLC | 9279 Medical Plaza Dr, Suite B2, North Charleston, SC 29406-9141 |
| Elizabeth Norene Dacus | Obstetrics/gynecology | Coastal Carolina Primary Care, LLC | 9279 Medical Plaza Dr, Suite A, Charleston, SC 29406-9141 |
| Steven Edward Mason | Clinical Social Worker | Changes Counseling Center LLC | 9279 Medical Plaza Dr, Suite B2, North Charleston, SC 29406-9141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Coker | Cardiovascular Disease (cardiology) | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Mary L Bowen | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jason B Coker | Internal Medicine | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Dana West | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Victoria M Adams | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Kirsten Lynn Paris | Physician Assistant | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, North Charleston, SC 29406 |
| Jack Stansbury | Nurse Practitioner | Palmetto Primary Care Physicians | 2550 Elms Ctr Rd, N Charleston, SC 29406 |
| Jennifer M Lesslie | Optometry | 1370 Remount Rd, Suite B, N Charleston, SC 29406-3322 | |
| Francis Akom | Obstetrics/gynecology | 1370 Remount Rd D, North Charleston, SC 29406-3322 | |
| Michael David Schall | Optometry | 1415 Remount Rd, N Charleston, SC 29406-3326 | |
| Find all physicians in zip 29406 | |||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | NORTH CHARLESTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Kathryn E Roosevelt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.