Sophie R Roth
Clinical Social Worker
901 N 1st St Suite 225
Springfield
, Illinois 62702-3759
Sophie R Roth
Clinical Social Worker
901 N 1st St Suite 225
Springfield
, Illinois 62702-3759
(217) 525-1651
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Sophie R Roth
- 710 N 8th St
- Springfield, IL
- Zip : 62702-6324
- Fax : (217) 525-1651
- Phone : (217) 525-1064
Second Address
- Sophie R Roth
- 901 N 1st St Suite 225
- Springfield, IL
- Zip : 62702-3759
- Fax : (217) 788-4147
- Phone : (217) 788-4065
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 149017010 | IL |
National Provider Identifier
| NPI | 1003212564 |
|---|---|
| Provider Name | Sophie R Roth |
| First Address | Springfield, IL 62702-6324 |
| Second Address | Springfield, IL 62702-3759 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.