Flo B Roth in Farmingdale - Clinical

Flo B Roth - NPI 1093895088

Flo B Roth is a Clinical in Farmingdale, New Jersey. Flo B Roth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Flo B Roth is 1093895088. The last update date is 2023-11-03.

Flo B Roth's current location address is 3 W Fontaine Way, Farmingdale, New Jersey. You can contact this provider via phone number 7324968030 and fax number 7322921888. The mailing address for Flo B Roth is 3 W Fontaine Way, Farmingdale, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Flo B Roth
Address 3 W Fontaine Way, Farmingdale, New Jersey
Phone Number 7324968030
Fax Number 7322921888
Sole Proprietor Y
Credentials MSW, LCSW

NPI Number Detail

NPI Number 1093895088
Provider Enumeration Date 2006-10-16
Last Updated Date 2023-11-03

Provider Mailing Address Detail

Address 3 W Fontaine Way
City Farmingdale
State New Jersey (NJ)
Post Code 77274355
Phone Number 7324968030
Fax Number 7322921888

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SC04019
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
320764 NJ MAGELLAN PROVIDER
104295 NJ MHN PROVIDER
93662225 NJ UBH PROVIDER
3K0788 NJ HEALTH NET PROVIDER
5175525 NJ AETNA PROVIDER

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FAQs about Flo B Roth

What is the unique identifier code issued to Flo B Roth by the Centers for Medicare & Medicaid Services?

The Flo B Roth has been assigned the NPI (National Provider Identifier) 1093895088. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Flo B Roth is physically located?

The Flo B Roth is physically situated at the following address: 3 W Fontaine Way, Farmingdale, NJ, 77274355.

What is Flo B Roth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Flo B Roth is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1093895088 to Flo B Roth?

The Centers for Medicare & Medicaid Services assigned the 1093895088 to Flo B Roth on 2006-10-16.

As of what date was the information pertaining to Flo B Roth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Flo B Roth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-03.

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