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

Individual provider Clinical Social Worker · NPI 1992593644

Hallie Roth, LCSW is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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

4079 Governor Dr Unit 1118
San Diego, CA 92122-2522
Phone: (858) 256-6068
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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 LCSW22799 (CA)

Record details

NPI number1992593644
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 23, 2025

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