Active NPI
Rachel Roth, LCSW
- Social Worker
- Chicago, IL
National Provider Identifier
1285022129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 093043
- Practice address
- 134 North Lasalle Street
Suite 2200
Chicago, IL 60602 - Phone
- (516) 508-8160
- NPI assigned
- Dec 30, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 093043 | NY | Primary |
Addresses
Primary practice location
134 North Lasalle Street
Suite 2200
Chicago, IL 60602
Mailing address
14114 Aster Ave
Wellington, FL 33414-8513
Phone (516) 508-8160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093454 | Other | NY | LICENSED CLINICAL SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093043 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1285022129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14114 ASTER AVE",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148513",
"telephone_number": "516-508-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 NORTH LASALLE STREET",
"address_2": "SUITE 2200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60602",
"telephone_number": "516-508-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "RACHEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2023-02-14",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "093043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "093454",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.