Stefanie Rachel Roth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

059353-1 Issued in NY

Practice address

112 Franklyn Place
Woodmere, NY 11598-1217

Phone

(516) 374-3671

NPI assigned

Oct 27, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1699765933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BAR BEACH RD",
            "address_2": "PORT WASHINGTON",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504003",
            "telephone_number": "516-883-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FRANKLYN PLACE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981217",
            "telephone_number": "516-374-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "STEFANIE",
        "middle_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "059353-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699765933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leora Rosenwald, DDS
• Ellen Rosenzweig
• Barbra Rossen
• Erica Roth Muchnick, M.S, CCC-SLP
• Devorah Roth, PHARMD
• Deborah Rothman, L.AC, DIPL. AC.
• Lauren Rothman
• Tamar M Roz, D.D.S.
• Barbara Wendy Rozanski, RN
• Barry K Rozenberg, DDS

• Clinical Social Worker in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.