Individual provider · Type 1 NPI
Ellen Roth, LCSW R
Clinical Social Worker · New City, NY
Practice location
20 Squadron Boulevard #560, Dr Mark Tarle
New City, NY 10956
Fax (845) 639-0727
Mailing address
62 Gedney Street
Nyack, NY 10960-2208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R0361531 (NY) |
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 1326114992
Ellen Roth, LCSW R's National Provider Identifier is 1326114992, issued on Nov 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New City, NY. The record was last updated on Jul 8, 2007.