Individual provider · Type 1 NPI
Nicolle Roth, LCSW
Clinical Social Worker · Manor, TX
Practice location
13620 James Buchanan St
Manor, TX 78653-4087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-79121 (MT) |
| Clinical Social Worker Primary | 1041C0700X | 106181 (TX) |
| Clinical Social Worker | 1041C0700X | CSW.09931317 (CO) |
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…
Another provider at this address
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About NPI 1326845744
Nicolle Roth, LCSW's National Provider Identifier is 1326845744, issued on Feb 25, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manor, TX. The record was last updated on Apr 28, 2026.