MRS. SUSAN S ROTH (NPI# 1174518476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174518476 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN S ROTH |
| Credential | LCSW DCSW |
| Practice Address |
3107 N Peary St Arlington VA 22207-5355 |
| Practice Telephone | 7035160304 |
| Practice Fax Number | 7035160305 |
| Mailing Telephone | 7035160304 |
| Mailing Fax Number | 7035160305 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
VA0904000691 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 2454001 | 01 | |
| UBH | 78400590 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265670186 | Susan Roth | Speech-Language Pathologist | 114 West 86th Street, 8c, New York City, NY 10024-4062 | 2009-01-30 |
| 1497776975 | Susan Roth | Psychologist | 744 Mountain Blvd, Watchung, NJ 07069-6297 | 2006-07-21 |
| 1578701926 | Susan Roth | Social Worker | 1 Federation Way, Suite 220, Irvine, CA 92603-0173 | 2009-01-22 |
| 1669652236 | Susan C Roth | Registered Nurse | 410 Glenn Ave, Suite 200, Bloomsburg, PA 17815-1200 | 2007-11-12 |
| 1619045994 | Susan M Roth | Speech-Language Pathologist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2006-12-02 |
| 1063587624 | Susan Amy Roth | Pediatrics | 1000 Central St, Suite 765, Evanston, IL 60201-1777 | 2006-11-21 |
| 1730278151 | Susan Marie Roth | Counselor | 6950 Hillsdale Ct, Indianapolis, IN 46250-2040 | 2006-10-12 |
| 1124054465 | Susan B Roth | Radiology | 3400 Spruce St, Ground Floor Dulles, Philadelphia, PA 19104 | 2006-06-25 |
| 1144274267 | Susan R Roth | Audiologist | 4302 Alton Rd., Suite 650, Miami Beach, FL 33140 | 2006-05-22 |
| Street Address |
3107 N PEARY ST |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22207-5355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952820383 | Myrna Carlin Del Olivar | Dentist | Santa Rosalia 20380, Ste 3, Tijuana, BAJA CALIFORNIA 22207 | 2017-09-18 |
| 1770937617 | Jennifer Claire Gagnon | Nurse Practitioner | 2807 N. Glebe Road, Marymount University, Student Health, Arlington, VA 22207 | 2016-04-18 |
| 1609297308 | Henry L Danaceau, Md Ltd | Orthopaedic Surgery | 2501 North Glebe Road, Arlington, VA 22207 | 2013-12-23 |
| 1508121856 | Ashanti Sade Fludd | Home Health Aide | 5010 22nd Street, North Arlington, VA 22207 | 2012-07-11 |
| 1619204609 | Nathaniel Thomas Connally Jr. | Internal Medicine | 3563 N. Abingdon St., Arlington, VA 22207 | 2009-11-11 |
| 1548421076 | Physical Therapy Health Center | Clinic/Center | 5312 N 36th St, Arlington, VA 22207 | 2008-06-18 |
| 1770784415 | Edmund Russell Lynn Jr. | Social Worker | 6033 Little Falls Rd, Arlington, VA 22207 | 2007-05-30 |
| 1053520494 | Deborah Cusick Defranco | Specialist/Technologist | 1426 North Quincy Street, Arlington, VA 22207 | 2007-05-22 |
| 1316081284 | Denise E Bruner Md & Assoc PC | Internal Medicine | 5015 Lee Highway, Suite 201, Arlington, VA 22207 | 2007-02-16 |
| 1740340751 | Albert John Kalil | Psychologist | 4635 14th St North, Arlington, VA 22207 | 2006-12-11 |
| Find all providers in zip 22207 | ||||
| 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] |
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| 1407463623 | Metropolitan Counseling Services, LLC | Social Worker | 1503 N Jefferson St, Arlington, VA 22205-2839 | 2020-09-30 |
| 1740897263 | Michelle Binion | Social Worker | 3918 November Ct, Arlington, TX 76016-3805 | 2020-09-29 |
| 1649887316 | Jessica Barber | Social Worker | 5701 Champion Ct, Arlington, TX 76017-4213 | 2020-09-28 |
| 1568076172 | Katie Michell Mcintyre | Social Worker | 12025 228th St Ne, Arlington, WA 98223-6930 | 2020-09-01 |
| 1508479106 | Terry Ellis Real | Social Worker | 754 Massachusetts Avene, Arlington, MA 02476 | 2020-08-25 |
| 1740815323 | Jennifer Jones Alexander | Social Worker | 7606 Black Willow Ln, Arlington, TX 76002-4626 | 2020-03-04 |
| 1578194643 | Krista Oberlander | Social Worker | 3330 Washington Blvd Ste 150, Arlington, VA 22201-4502 | 2020-01-28 |
| 1295373447 | Samantha Theresa Brown | Social Worker | 1235 S Clark St Ste 510, Arlington, VA 22202-4362 | 2019-12-18 |
| 1730727520 | Stephanie Gillespie | Social Worker | 1506 W Pioneer Pkwy Ste 108, Arlington, TX 76013-6253 | 2019-12-12 |
| Find all providers in ARLINGTON | ||||
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| 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.