Jillian Leigh Roth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05772800 Issued in NJ

Practice address

20 Nassau St Ste 412&413
Princeton, NJ 08542-4509

Phone

(908) 616-4273

NPI assigned

Jan 24, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1609374750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 DUNELLEN AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088542227",
            "telephone_number": "908-616-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NASSAU ST STE 412&413",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424509",
            "telephone_number": "908-616-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JILLIAN",
        "middle_name": "LEIGH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06071500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05772800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Rossman, M.S. CCC-SLP
• Terri Rossman, CCC-SLP
• William Henry Rossy IV, M.D.
• Anthony Paul Rota, M.D.
• Yoshiko Klara Roth-Hidalgo, RDN
• Rothbart Group
• Beth Rothman, DPT
• Anna Rothstein
• Brittany Rotonda
• John T. Rotondi, D.M.D.

• Clinical Social Worker in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.