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

Kenneth Roper

Individual provider Clinical Social Worker · NPI 1164180048

Kenneth Roper is a Clinical Social Worker in Winston Salem, North Carolina. Qualified in 2021, 5 years ago. Practices with Brightside Medical of New Jersey PC, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Georgia, Iowa and Illinois and 5 more.

Years since qualifying
5
Licensed in
AZ, GA, IA, IL, KS, NC
In the registry since
2021
Specialties on file
10

Practice location Address checks out

2211 Merck Dr
Winston Salem, NC 27106-1752
Phone: (678) 887-5080
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P016345 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149031367 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW009592 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-22846 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-1745 (WY)
Clinical Social Worker Taxonomy 1041C0700X · Licence LSCSW06347 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence C016677 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904016357 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 124508 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LICENSE (SD)

Record details

NPI number1164180048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 7, 2021
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brightside Medical Of New Jersey Pc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Winston Salem