Su Roth
NPI 1265023642 · Clinical Social Worker · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Su Roth is a Clinical Social Worker provider in Fort Wayne, IN (NPI 1265023642).
Provider details
- NPI number
- 1265023642
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 34010888A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-28
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Su Roth's NPI number?
- Su Roth's National Provider Identifier (NPI) is 1265023642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Su Roth's specialty?
- Su Roth is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Su Roth located?
- Su Roth's practice location on file with NPPES is 8633 Castle Creek Dr, Fort Wayne, IN 46804-2759.
- What is Su Roth's phone number?
- The practice phone number listed in the NPPES registry for Su Roth is (317) 775-4994.
- Does Su Roth accept Medicare?
- Su Roth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Su Roth's NPI active?
- Yes — Su Roth's NPI (1265023642) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.