NPI 1003012337

Debra Roth

Practitioner Clinical Social Worker New York, NY

Practice location

Address: 80 University Pl 2nd Floor, New York, NY 10003-4564
Phone: (212) 352-8282
Mailing address: 115 4th Ave APT 5j, New York, NY 10003-4900

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence RO45127-1 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1003012337
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.