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

Misty Roeder

Individual provider Clinical Social Worker · NPI 1598023731

Misty Roeder is a Clinical Social Worker in Bowling Green, Kentucky. Qualified in 2012, 14 years ago. Practices with Psychological and Behavioral Consultants LLC, a 577-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
In the registry since
2012
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Practice location Address checks out

1312 Westen St
Bowling Green, KY 42104-3352
Phone: (270) 904-1072
Fax: (270) 904-1073
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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 255040 (KY)

Record details

NPI number1598023731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2012
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020
Mailing address1312 Westen St, Bowling Green, KY 42104-3352

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Psychological And Behavioral Consultants Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bowling Green