Individual provider · Type 1 NPI

Amy N. Roth, LCSW

Clinical Social Worker · Park Ridge, IL

NPI number 1700035458 Active

Practice location

444 N Northwest Hwy, Suite 145
Park Ridge, IL 60068-3263

Fax (847) 685-6390

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.011184 (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 1700035458

Amy N. Roth, LCSW's National Provider Identifier is 1700035458, issued on Sep 17, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Park Ridge, IL. The record was last updated on Sep 17, 2008.