Individual
SAMARA BENENSON ROTH
Active
Individual
SAMARA BENENSON ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
104516-1
NY
104100000X
Social Worker
24176
MD
1041C0700X
Clinical Social Worker
Primary
LC50082900
DC
Other
Enumeration date
11/11/2019
Last updated
09/29/2021
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