Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Roth, LCSW

Individual provider Clinical Social Worker · NPI 1679163000

Amanda Roth, LCSW is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (503) 413-5377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11610 (OR)

Record details

NPI number1679163000
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024

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