AMY LYNN ROTH (NPI# 1356790612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356790612 |
| Entity Type | Individual |
| Full Name | AMY LYNN ROTH |
| Credential | LCSW |
| Practice Address |
11 Orchard Farm Rd Port Washington NY 11050-3309 |
| Practice Telephone | 5167670533 |
| Mailing Telephone | 5167670533 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
084265-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1750630695 | Amy Roth | Occupational Therapist | 540 S. Main St, Mt. Angel, OR 97362-0000 | 2012-09-06 |
| 1538304324 | Amy Marie Roth | Counselor | 1500 S Sycamore Ave Ste 200, Sioux Falls, SD 57110-3711 | 2008-12-08 |
| 1164964979 | Amy Roth | Nurse Practitioner | 255 Front St, Hellertown, PA 18055-1780 | 2016-11-10 |
| 1912293309 | Amy Michelle Roth | Internal Medicine | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2011-06-23 |
| 1225328891 | Amy Roth | Counselor | 1517 Durham Rd, Penndel, PA 19047-5707 | 2011-04-15 |
| 1700035458 | Amy N Roth | Social Worker | 444 N Northwest Hwy, Suite 145, Park Ridge, IL 60068-3263 | 2008-09-17 |
| Street Address |
11 ORCHARD FARM RD |
| City | PORT WASHINGTON |
| State | NY |
| Zip Code | 11050-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144689696 | One-care Physical Therapy Pllc | Physical Therapist | 45 B Dunwood Rd, Port Washington, NY 11050 | 2016-02-12 |
| 1720472525 | Dominique Neebe | Specialist | 141 Middleneck Road, Sands Point, NY 11050 | 2015-03-19 |
| 1902237316 | Cheryl Goldfarb | Speech-Language Pathologist | 11 Leeds Drive, Port Washington, NY 11050 | 2013-12-11 |
| 1467722454 | Robert Cerpa | Psychologist | 6 Morewood Oaks, Manorhaven Elementary School, Port Washington, NY 11050 | 2012-01-06 |
| 1043515828 | Tak Wai Chau | Social Worker | 36 Rockwood Ave, Port Washingto, NY 11050 | 2011-01-25 |
| 1073823167 | Donna Lee Kosina | Occupational Therapist | 10 Maple Dr., Port Washington, NY 11050 | 2010-10-07 |
| 1962710467 | Alicia Marie Leporati | Counselor | 9 Graywood Rd, Port Washington, NY 11050 | 2010-09-17 |
| 1164747630 | Thomas Young Suh | Pharmacist | 100 Habor View Drive #630, Port Washington, NY 11050 | 2010-03-29 |
| 1376778142 | Ellen J Satloff | Social Worker | 14 Terrace Drive, Port Washington, NY 11050 | 2009-05-22 |
| 1376707547 | Port Washington Dental Associates | Clinic/Center | 18 Haven Ave, Port Washington, NY 11050 | 2008-07-16 |
| Find all providers in zip 11050 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407416688 | Joan Salmon | Social Worker | 30 Plymouth Rd, Port Washington, NY 11050-4330 | 2019-06-19 |
| 1053801076 | Debra J Brodsky | Social Worker | 39 Yennicock Ave # 1, Port Washington, NY 11050-2130 | 2018-05-15 |
| 1508213356 | Josephine R Feldman | Social Worker | 77 Country Club Dr, Port Washington, NY 11050-4535 | 2016-05-23 |
| 1609241702 | Nicole Brill Lcsw-r | Social Worker | 47 Essex Ct, Port Washington, NY 11050-4222 | 2015-12-01 |
| 1710392121 | Joshua Michael Ring | Social Worker | 97 Davis Rd, Port Washington, NY 11050-3810 | 2014-06-24 |
| 1750702106 | Nicole D Asselta | Social Worker | 19 Winthrop Rd, Port Washington, NY 11050-4418 | 2014-01-01 |
| 1316217508 | Krista Diaso | Social Worker | 150 Bayview Ave, Port Early Childhood and Family Therapy, Port Washington, NY 11050-3620 | 2012-01-05 |
| 1073894432 | Jane B. Weiler | Social Worker | 130 Bayview Ave, Port Washington, NY 11050-3618 | 2011-08-30 |
| 1194026369 | Sim Ezratty | Social Worker | 26 Salem Ln, Port Washington, NY 11050-4334 | 2010-11-04 |
| 1063741239 | Cara T Greene | Social Worker | 259 Harbor View Dr, Port Washington, NY 11050-4706 | 2009-12-16 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 11050 |
Please comment or provide details below to improve the information on AMY LYNN ROTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.