Individual provider · Type 1 NPI
Kimberly D. Roth, LICSW
Clinical Social Worker · Plymouth, MA
Practice location
16 Samoset St
Plymouth, MA 02360-4544
Mailing address
PO Box 696
East Falmouth, MA 02536-0696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 120906 (MA) |
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 1962836932
Kimberly D. Roth, LICSW's National Provider Identifier is 1962836932, issued on Aug 27, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MA. The record was last updated on Dec 13, 2017.