Ellen Roth is a Clinical in New City, New York. Ellen Roth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Roth is 1326114992. The last update date is 2007-07-08.
Ellen Roth's current location address is 20 Squadron Boulevard #560, New City, New York. You can contact this provider via phone number 8456393150 and fax number 8456390727. The mailing address for Ellen Roth is 20 Squadron Boulevard #560, New City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Roth |
|---|---|
| Address | 20 Squadron Boulevard #560, New City, New York |
| Phone Number | 8456393150 |
| Fax Number | 8456390727 |
| Sole Proprietor | N |
| Credentials | LCSW R |
NPI Number Detail
| NPI Number | 1326114992 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 Squadron Boulevard #560 |
|---|---|
| City | New City |
| State | New York (NY) |
| Post Code | 10956 |
| Phone Number | 8456393150 |
| Fax Number | 8456390727 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R0361531 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2275318 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ellen Roth by the Centers for Medicare & Medicaid Services?
The Ellen Roth has been issued the NPI (National Provider Identifier) 1326114992. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ellen Roth's facilities are situated?
The facilities of Ellen Roth are physically located at the following address: 20 Squadron Boulevard #560, New City, NY, 10956.
What is the area of specialization for Ellen Roth, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellen Roth is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Ellen Roth receive the assignment of its 1326114992 from the Centers for Medicare & Medicaid Services?
The Ellen Roth was issued its 1326114992 by the Centers for Medicare & Medicaid Services on 2006-11-27.
When was the Ellen Roth's information last updated?
The Ellen Roth's information was last updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA