Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Roherty, LCSW, MSW

Individual provider Social Worker · NPI 1194507558

John Roherty, LCSW, MSW is a Clinical Social Worker in Wausau, Wisconsin. Qualified in 2023, 3 years ago. Practices with Behavioral Health Clinic LLC, a 44-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

630 S 36th Ave
Wausau, WI 54401-3930
Phone: (715) 842-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12148-123 (WI)
Social Worker Taxonomy 104100000X · Licence 134443-121 (WI)

Record details

NPI number1194507558
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , MSW
Sole proprietorNo
NPI enumeratedOctober 19, 2023
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address630 S 36th Ave, Wausau, WI 54401-3930

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Behavioral Health Clinic Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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