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

Amy Lynn Roth, LCSW

Individual provider Clinical Social Worker · NPI 1356790612

Amy Lynn Roth, LCSW is a Clinical Social Worker in Port Washington, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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

11 Orchard Farm Rd
Port Washington, NY 11050-3309
Phone: (516) 767-0533
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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 084265-1 (NY)

Record details

NPI number1356790612
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 8, 2016
Last updated in NPPESJune 8, 2016

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