Organization Active NPI

Cynthia L. Roth, LCSW, LLC

  • Clinical Social Worker
  • Stroudsburg, PA
National Provider Identifier
1790902062
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014382 Issued in PA
Legal business name
CYNTHIA L. ROTH, LCSW, LLC
Practice address
134 Broad St # 9
Stroudsburg, PA 18360-1590
Phone
(570) 972-0762
Fax
(570) 431-0100
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Louise Roth, MSW
Title
President Owner
Phone
(570) 972-0762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW014382 PA Primary

Addresses

Primary practice location

134 Broad St # 9
Stroudsburg, PA 18360-1590

Mailing address

134 Broad St # 9
Stroudsburg, PA 18360-1590
Phone (570) 972-0762

National Provider Directory

National Provider Directory

Locations

134 Broad St
Ste 9
Stroudsburg, PA 18360
Phone (570) 872-9323

1206 Laskin Rd
Ste 201
Virginia Beach, VA 23451
Phone (757) 236-5840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790902062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BROAD ST # 9",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601590",
            "telephone_number": "570-972-0762",
            "fax_number": "570-431-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BROAD ST # 9",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601590",
            "telephone_number": "570-972-0762",
            "fax_number": "570-431-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA L. ROTH, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "570-972-0762",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.