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

Julie Christina Roth, LICSW

Individual provider Mental Health Counselor · NPI 1811620669

Julie Christina Roth, LICSW is a Mental Health Counselor in Rochester, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

300 1st Ave NW Ste 210
Rochester, MN 55901-2830
Phone: (507) 990-4244
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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 29128 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 29128 (MN)

Record details

NPI number1811620669
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 7, 2022
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

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