Roth, Leah

Roth, Leah is an individual health care provider with primary practice located at 146 Pike St , Port Jervis NY 12771-1808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roth, Leah can be contacted via phone (845) 858-1460.

Contact Information

Primary practice address
146 Pike St Port Jervis NY 12771-1808
Phone: (845) 858-1460
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 080245-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 082160-1 New York

Profile Details

NPI number 1801128384
LBN Legal business name Roth, Leah
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2010
Last updated Aug 12th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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