Stuart Philip Rothman, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW-001015-L Issued in PA

Practice address

1012 Water St.
Meadville, PA 16335-3444

Phone

(814) 337-8868

Fax

(814) 333-1025

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1366434045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 NORTH ST.",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352144",
            "telephone_number": "814-337-8868",
            "fax_number": "814-333-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 WATER ST.",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353444",
            "telephone_number": "814-337-8868",
            "fax_number": "814-333-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "STUART",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW-001051-L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW-001015-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075448820003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075448820",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rock Creek Counseling and Wellness Center
• Alassia Rodgers
• Laura Rogers-Wilson, RPH
• Kasey Roser
• Christian Ivan Rosero Llerena, MD
• Taylor Rupert, OD
• David G Rust, MD
• Rosanne Rust, MS, RD, LDN
• Tammy Sage
• Elizabeth Samson, PHARMD

• Clinical Social Worker in Meadville, PA
• Providers in Meadville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.