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

Individual provider Clinical Social Worker · NPI 1790096626

Justin Michael Roth, LCSW is a Clinical Social Worker in Tampa, Florida. Qualified in 2008, 18 years ago. Practices with A and R Psychiatric and Mental Health Services, LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
18
Licensed in
FL
In the registry since
2010
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

550 N Reo St Ste 300
Tampa, FL 33609-1061
Phone: (303) 817-8953
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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 SW 9914 (FL)

Record details

NPI number1790096626
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 25, 2010
Last updated in NPPESMarch 23, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice A And R Psychiatric And Mental Health Services, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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