Individual provider · Type 1 NPI
Stephanie Ann Roth, LCSW
Clinical Social Worker · Patchogue, NY
Practice location
40 W 4th St Apt 213
Patchogue, NY 11772-2138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 091331 (NY) |
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 1861383390
Stephanie Ann Roth, LCSW's National Provider Identifier is 1861383390, issued on Jul 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Patchogue, NY. The record was last updated on Jul 12, 2025.