MS. LISA BETTINA ROTH (NPI# 1780823245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780823245 |
| Entity Type | Individual |
| Full Name | MS. LISA BETTINA ROTH |
| Credential | LCSW |
| Practice Address |
40 Park Ln Highland NY 12528 |
| Mailing Address |
45 Scenic Dr Poughkeepsie NY 12603-5529 |
| Practice Telephone | 8458835151 |
| Mailing Telephone | 8454892570 |
| Mailing Fax Number | 8454529338 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 049890-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
080145-1 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 45 Scenic Dr, Poughkeepsie, NY 126035529 | 8454892570 | 8454529338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346612272 | Lisa Roth | Nurse's Aide | 22294 Coffelt Rd, Saint Mary, MO 63673-9225 | 2015-10-30 |
| 1730116807 | Lisa Caren Roth | Allergy & Immunology | 10 Union Ave, Suite11a&b, Lynbrook, NY 11563-3397 | 2006-06-26 |
| 1841773959 | Lisa Marie Roth | Case Manager/Care Coordinator | 10 N Main St, Bristol, CT 06010-8122 | 2018-09-13 |
| 1083133235 | Lisa Hughes Roth | Dietitian, Registered | 12550 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3655 | 2017-09-19 |
| 1295254522 | Lisa Carolyn Roth | Counselor | 101 E Broadway Ave, Bismarck, ND 58501-3840 | 2017-09-19 |
| 1336501857 | Lisa Sharon Roth | Psychologist | 399 Laurel St, Suite 5, San Francisco, CA 94118-1951 | 2016-03-23 |
| 1679986715 | Lisa Anne Roth | Pediatrics | 3401 Civic Center Blvd Rm 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4319 | 2014-06-06 |
| 1376704742 | Lisa Roth | Pediatrics | 1275 York Ave, Department of Pediatrics, New York, NY 10065-6007 | 2008-06-19 |
| 1871762609 | Lisa Michelle Roth | Specialist/Technologist | 21419 W Dove Valley Rd, Wittmann, AZ 85361-8412 | 2008-02-26 |
| 1558576561 | Lisa M Roth | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-05-12 |
| Street Address |
40 PARK LN |
| City | HIGHLAND |
| State | NY |
| Zip Code | 12528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134302219 | Diana Santana | Occupational Therapy Assistant | 40 Park Ln, Highland, NY 12528-2824 | 2007-12-11 |
| 1003352428 | Learning Together, Inc. | Early Intervention Provider Agency | 40 Park Ln, Highland, NY 12528-2824 | 2017-01-09 |
| 1609251701 | Amy Celeste Roubian | Preventive Medicine | 40 Park Ln, Highland, NY 12528-2824 | 2015-07-30 |
| 1750788006 | Orsolya Vizi Sussner | Physical Therapy Assistant | 40 Park Ln, Highland, NY 12528-2824 | 2014-12-02 |
| 1316380579 | Cecile Jurgensen | Specialist | 40 Park Ln, Highland, NY 12528-2824 | 2013-04-08 |
| 1538441936 | Nancy Jane Guarini | Registered Nurse | 40 Park Ln, Highland, NY 12528-2824 | 2011-09-13 |
| 1417238247 | Sarah Peck | Specialist | 40 Park Ln, Highland, NY 12528-2824 | 2011-09-07 |
| 1992097620 | Deborah Ann Kennedy | Specialist | 40 Park Ln, Early Education Center, Highland, NY 12528-2824 | 2011-05-13 |
| 1164727681 | Diana Lee-tuan | Specialist | 40 Park Ln, Highland, NY 12528-2824 | 2011-01-13 |
| 1972805273 | Amy C. Calvano | Specialist | 40 Park Ln, Highland, NY 12528-2824 | 2010-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372292 | Kate Shults Dammer | Physical Therapist | 280 Rout 299, Suite 1, Highland, NY 12528 | 2020-10-06 |
| 1477194074 | Natalee R Riley | Licensed Practical Nurse | 6 Commercial Ave Apt C, Highland, NY 12528 | 2019-10-04 |
| 1982185930 | Giselle Marietta Colaco | Physical Therapist | Wingate At Ulster, One Wingate Way, Highland, NY 12528 | 2018-08-28 |
| 1083085237 | Alyssa D'alto | Speech-Language Pathologist | 16 Lockhart Lane, Highland, NY 12528 | 2015-10-14 |
| 1689071953 | Althea P. Milton | Social Worker | 15 Oak Crest Drive, Highland, NY 12528 | 2014-12-02 |
| 1295079267 | Colleen P. Mcguigan | Licensed Practical Nurse | 3 Cusa Dr, Highland, NY 12528 | 2012-11-15 |
| 1982984068 | Elizabeth Anne Troicke | Licensed Practical Nurse | 500 Rt 299, Unite 22c, Highland, NY 12528 | 2011-08-22 |
| 1801055272 | Kenneth David Schappe | Massage Therapist | 280 State Route 299, Suite #2, Highland, NY 12528 | 2008-06-02 |
| 1780758870 | Michele Kee Goldman | Nurse Practitioner | 514 Route 299, Highland, NY 12528 | 2006-11-20 |
| 1023192770 | Tami L Pucino | Nurse Practitioner | 3548 Us Highway 9w, Highland, NY 12528 | 2006-10-25 |
| Find all providers in zip 12528 | ||||
| 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 |
|---|---|---|---|---|
| 1477179752 | Julie A Domeier | Social Worker | 303 Pancake Hollow Rd, Highland, NY 12528-2338 | 2020-06-22 |
| 1801452651 | Veronica Diaz | Social Worker | 7857 La Nita St, Highland, CA 92346-6321 | 2019-05-17 |
| 1518433135 | Christopher Hill | Social Worker | 2420 Poplar St, Highland, IL 62249-2621 | 2018-10-22 |
| 1437505625 | Kristy A Drouillard | Social Worker | 1350 S Milford Rd, Highland, MI 48357-4858 | 2016-05-06 |
| 1235594565 | Marie Asako Catenacci | Social Worker | 1050 South Milford Road, Suite 205, Highland, MI 48357 | 2015-12-31 |
| 1033594957 | Aaron David Munson | Social Worker | 2842 45th St, Suite A, Highland, IN 46322-2985 | 2015-07-21 |
| 1689071953 | Althea P. Milton | Social Worker | 15 Oak Crest Drive, Highland, NY 12528 | 2014-12-02 |
| 1295975522 | Antoinette Peterson | Social Worker | 280 N Milford Rd, Highland, MI 48357-4536 | 2009-02-26 |
| 1497931059 | Cynthia Torrence Cyprian | Social Worker | 2331 45th St, Highland, IN 46322-2602 | 2008-01-14 |
| 1134317340 | Shirley Hunt Wiggins | Social Worker | 7541 Church Ave, Highland, CA 92346-3711 | 2007-10-12 |
| Find all providers in HIGHLAND | ||||
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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.