Baylie Zheutlin Roth, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.102774 Issued in IL

Practice address

1000 W Diversey Pkwy
Chicago, IL 60614-1879

Phone

(773) 281-7200

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fruit Belt Consulting LLC

  • Clinical Social Worker
  • Mount Carroll, IL
  • NPI 1134920481
  NPD Authorized official
• Fruit Belt Counseling PLLC

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1669199378
  NPD Authorized official

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467964197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 W ELMDALE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602546",
            "telephone_number": "630-750-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141879",
            "telephone_number": "773-281-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5209 N Clark St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606402101",
            "country_code": "US",
            "telephone_number": "773-281-7200 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BAYLIE",
        "middle_name": "ZHEUTLIN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.102774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie A Roth Crain, OD
• Roth Eye Care P.C.
• Abbie H Roth, MD
• Andrew G Roth, M.D
• Ann Roth, L.AC.
• Bridget Kathleen Roth
• Elliot Roth, MD
• Hannah Fay Roth, MD
• Heidi Roth, PT
• James Gerard Roth, O.D.

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.