Lisa Bettina Roth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080145-1 Issued in NY

Practice address

40 Park LN
Highland, NY 12528

Phone

(845) 883-5151

NPI assigned

Feb 6, 2009

Sex

Female

Sole proprietor

No

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": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1780823245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SCENIC DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035529",
            "telephone_number": "845-489-2570",
            "fax_number": "845-452-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK LN",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "12528",
            "telephone_number": "845-883-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126035529",
            "country_code": "US",
            "telephone_number": "845-489-2570",
            "fax_number": "845-452-9338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "LISA",
        "middle_name": "BETTINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "049890-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080145-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fiona Antoinette Robinson, LPN
• Sarah Roosa, FNP-BC
• Dalia Rosenstein, MS FNP-BC
• Amy Celeste Roubian
• Dominic Jude Rubino, D.C.
• Gerri E Runion, LICENSED PRACTICAL N
• Samantha S Russell, LPN
• Rachel Ruth, MSED

• Clinical Social Worker in Highland, NY
• Providers in Highland, 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 Aug 28, 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.