Roth, Stefanie Rachel
Roth, Stefanie Rachel is an individual health care provider with primary practice located at 112 Franklyn Place , Woodmere NY 11598-1217. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roth, Stefanie Rachel can be contacted via phone (516) 374-3671.Contact Information
Primary practice address
112 Franklyn Place
Woodmere NY 11598-1217
Phone: (516) 374-3671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 059353-1 | New York |
Profile Details
| NPI number | 1699765933 |
|---|---|
| LBN Legal business name | Roth, Stefanie Rachel |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Sep 20th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699765933 | NPPES |
| New York | MEDICAID | 1699765933 |
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