Individual provider Active NPI

Victoria Roth, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1982220034
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088101 Issued in NY
Practice address
1345 Avenue of the Americas FL 2
New York, NY 10105-0014
Phone
(833) 835-3467
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 088101 NY Primary

Addresses

Primary practice location

1345 Avenue of the Americas FL 2
New York, NY 10105-0014

Mailing address

1345 Avenue of the Americas FL 2
New York, NY 10105-0014
Phone (833) 835-3467

Other practice location 1

1 Sundbury Dr
New City, NY 10956-4103
Phone (201) 500-5798

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221013001860 NY Practitioner - Clinical Social Worker 6204202468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Hudson GuildGroup PAC ID 0345139887, 4 clinicians

Practice addresses (Care Compare)

441 W 26TH St
New York, NY 10001-5629
Phone (212) 760-9822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teleios Counseling Services LCSW PLLC Clinical CurrentSince Jul 12, 2020 Accepting new patients
Hudson Guild CurrentSince Jun 22, 2022 Accepting new patients

Locations

441 W 26th St
New York, NY 10001
Phone (212) 760-9800

1345 Avenue of the Americas
Fl 2
New York, NY 10105
Phone (212) 981-1977

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1982220034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050014",
            "telephone_number": "833-835-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050014",
            "telephone_number": "833-835-3467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sundbury Dr",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109564103",
            "country_code": "US",
            "telephone_number": "201-500-5798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.