Stacey Robin Roth is a Clinical in Pasadena, California. Stacey Robin Roth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stacey Robin Roth is 1497885883. The last update date is 2014-02-05.
Stacey Robin Roth's current location address is 940 Avenue 64, Pasadena, California. You can contact this provider via phone number 3232542274. The mailing address for Stacey Robin Roth is 940 Avenue 64, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacey Robin Roth |
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Address | 940 Avenue 64, Pasadena, California |
Phone Number | 3232542274 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1497885883 |
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Provider Enumeration Date | 2007-03-06 |
Last Updated Date | 2014-02-05 |
Provider Mailing Address Detail
Address | 940 Avenue 64 |
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City | Pasadena |
State | California (CA) |
Post Code | 911052711 |
Phone Number | 3232542274 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS19006 |
Definition: 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, certif |
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What is the Stacey Robin Roth's 1497885883?
The Stacey Robin Roth's NPI (National Provider Identifier) Number is 1497885883. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stacey Robin Roth's physical address?
The Stacey Robin Roth is physically located at 940 Avenue 64, in the city of Pasadena, CA, with the postal code 911052711.
What is Stacey Robin Roth's area of expertise and its corresponding taxonomy classification?
The Stacey Robin Roth's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1497885883 to Stacey Robin Roth?
The Centers for Medicare & Medicaid Services assigned the 1497885883 to Stacey Robin Roth on 2007-03-06.
When was the information regarding Stacey Robin Roth most recently updated?
The details pertaining to the Stacey Robin Roth, including its address, specialty, and other relevant information, were last refreshed on 2014-02-05.