Individual provider · Type 1 NPI

Georgia L. Roth, LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1073146957 Active

Practice location

1 Jefferson Barracks Dr
St. Louis, MO 63125-4181

Call (314) 652-4100 Map

Other practice locations

  • 10695 Bellefontaine Rd, St. Louis, MO 63137-2315 · (314) 524-4578

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2016044090 (MO)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073146957

Georgia L. Roth, LCSW's National Provider Identifier is 1073146957, issued on Feb 19, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Jun 27, 2024.