Individual provider · Type 1 NPI

Jay Roth, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1477900090 Active

Practice location

200 E 115th St
Chicago, IL 60628-5015

Call (312) 747-2456 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.013563 (IL)

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 1477900090

Jay Roth, LCSW's National Provider Identifier is 1477900090, issued on May 24, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on May 24, 2016.