Individual
RACHEL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
134 NORTH LASALLE STREET, SUITE 2200, CHICAGO, IL 60602
(516) 508-8160
Mailing address
14114 ASTER AVE, WELLINGTON, FL 33414-8513
(516) 508-8160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
093043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093454
LICENSED CLINICAL SOCIAL WORKER
NY
Enumeration date
12/30/2014
Last updated
02/14/2023
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