Individual provider · Type 1 NPI

Jacqueline Marie Roth

Clinical Social Worker · Arlington, WA

NPI number 1669021952 Active

Practice location

5700 172nd St NE
Arlington, WA 98223-7742

Fax (360) 652-2093

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSC61633275 (WA)

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 1669021952

Jacqueline Marie Roth's National Provider Identifier is 1669021952, issued on Sep 9, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Arlington, WA. The record was last updated on Apr 6, 2026.