Individual
MATTHEW LOUIS ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5300 FOXRIDGE DR, MISSION, KS 66202-1554
(816) 221-0305
(816) 221-9121
Mailing address
11928 W 68TH ST, SHAWNEE, KS 66216-2845
(917) 531-5070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14719
KS
104100000X
Social Worker
Primary
—
KS
Other
Enumeration date
05/19/2026
Last updated
06/09/2026
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