Marisa Jeane Roth

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

SW131045 Issued in PA

Practice address

1501 Ligonier St
Latrobe, PA 15650-2912

Phone

(724) 804-7232

NPI assigned

Dec 28, 2023

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

Locations

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

• Adelphoi Education

  • Public Health or Welfare Agency
  • Latrobe, PA
  • NPI 1518651512
  NPD
• Adelphoi Village, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Latrobe, PA
  • NPI 1932226669
  NPD

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1619746930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 COEN MOBILE HOME LN",
            "city": "RUFFS DALE",
            "state": "PA",
            "postal_code": "156791738",
            "telephone_number": "724-771-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502912",
            "telephone_number": "724-804-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MARISA",
        "middle_name": "JEANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "PA",
            "license": "SW131045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Rosenthal, MD
• Charles H Rosenthall, PHARMACIST
• Patricia Rosko Kubistek, LCSW
• Katelyn Marie Ross
• Richard D Ross, PTA
• Stephanie Marie Rubino, MD
• Michael Rutigliano
• Amanda A Sabella, OT
• Mary K Sadekoski, RN
• Scott Baker Salancy, D.M.D.

• School Social Worker in Latrobe, PA
• Providers in Latrobe, PA by specialty
• School Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.