WENDY ANN ROTH (NPI# 1891741187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891741187 |
| Entity Type | Individual |
| Full Name | WENDY ANN ROTH |
| Credential | LCSW |
| Practice Address |
616 North St Suite 304 Jim Thorpe PA 18229-2125 |
| Practice Telephone | 5703252289 |
| Mailing Telephone | 5703252289 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW013080 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 1738209 | 01 |
| PA | CAPITALBLUECROSSSHIELD | 40046861 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861721094 | Wendy Roth | Behavioral Analyst | 10181 Nw 32nd Ter, Doral, FL 33172-5914 | 2009-12-17 |
| Street Address |
616 NORTH ST SUITE 304 |
| City | JIM THORPE |
| State | PA |
| Zip Code | 18229-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881655983 | Roberta B Gonzalez | Specialist | 616 North St, Suite 307, Jim Thorpe, PA 18229-2125 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093083859 | Nancy M. Porambo | Massage Therapist | 616 Center Street, Jim Thorpe, PA 18229 | 2011-12-08 |
| 1407967987 | Carol Ann Kardisco | Social Worker | 27 W Sixth Street, Jim Thorpe, PA 18229 | 2006-08-31 |
| 1639199144 | Jim Thorpe Ems | Ambulance | 100 E 10th St, Jim Thorpe, PA 18229 | 2006-07-20 |
| 1871697573 | Jayendra C Patel | Dentist | 903 Center St, Jim Thorpe, PA 18229 | 2006-09-12 |
| 1568453652 | Nancy Leigh Dombrosky | Emergency Medical Technician, Paramedic | 1491 Center Ave, Jim Thorpe, PA 18229-1009 | 2005-10-29 |
| 1104802651 | Patrick J Hanley | Emergency Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2005-12-16 |
| 1134240005 | Eileen P Connors | Nurse Practitioner | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-04-02 |
| 1487773966 | Switchback Medical Center PC | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-03-28 |
| 1063554467 | Vanessa Rice | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2007-02-13 |
| 1154382604 | Deborah Ann Smith | Family Medicine | 1580 Center Ave, Jim Thorpe, PA 18229-1012 | 2006-03-31 |
| Find all providers in zip 18229 | ||||
| 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 |
|---|---|---|---|---|
| 1912528779 | Kellie Price | Social Worker | 1169 Broadview Dr, Jim Thorpe, PA 18229-1590 | 2020-05-04 |
| 1780092775 | Robert Pompa Jr. | Social Worker | 89 Center Ave, Jim Thorpe, PA 18229-1201 | 2014-07-23 |
| 1639400922 | Rachel Marie Lucki | Social Worker | 29 Behrens Rd, Jim Thorpe, PA 18229-9536 | 2010-01-26 |
| 1407967987 | Carol Ann Kardisco | Social Worker | 27 W Sixth Street, Jim Thorpe, PA 18229 | 2006-08-31 |
| 1932658457 | Pozitive Approach Counseling and Consultation Services LLC | Social Worker | 89 Center Ave, Jim Thorpe, PA 18229-1201 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619798 | Kealsey Brennan Beecham | Social Worker | 9071 Mill Creek Rd Apt 2411, Levittown, PA 19054-4233 | 2020-11-07 |
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1992305478 | Christina Lynn Watson | Social Worker | 939 Bayridge Ave, Pittsburgh, PA 15226-2133 | 2020-10-26 |
| 1992304455 | Sarah B Matas | Social Worker | 434 Kennett Pike, Chadds Ford, PA 19317-9383 | 2020-10-25 |
| 1023617743 | Cody Forsythe | Social Worker | 147 N 5th St Ste 2, Reading, PA 19601-3494 | 2020-10-23 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1790384147 | Julie Adelle Figueroa | Social Worker | 301 Washington St Apt 1313, Conshohocken, PA 19428-4010 | 2020-10-17 |
| 1265030712 | Samantha Barley | Social Worker | 16055 Perry Hwy Bldg 3, Wexford, PA 15090-6885 | 2020-10-15 |
| 1346848165 | Lianne Glaus Vighetti | Social Worker | 624 Deer Watch Rd, Bridgeville, PA 15017-1148 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | JIM THORPE |
| Zip Code | 18229 |
Please comment or provide details below to improve the information on WENDY ANN ROTH.
| 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.