Individual provider · Type 1 NPI

Trevor Jude Roth, LCSW, LCAS, CCS-I

Clinical Social Worker · Lake Junaluska, NC

NPI number 1346482270 Active

Practice location

545 N Lakeshore Dr Ste 102
Lake Junaluska, NC 28745-9742

Mailing address

PO Box 712
Lake Junaluska, NC 28745-0712

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC009562 (NC)

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 1346482270

Trevor Jude Roth, LCSW, LCAS, CCS-I's National Provider Identifier is 1346482270, issued on Mar 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Junaluska, NC. The record was last updated on Aug 29, 2023.