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

Mr. Richard Henry Roth, LCSW, MA

Individual provider Clinical Social Worker · NPI 1477790608

Mr. Richard Henry Roth, LCSW, MA is a Clinical Social Worker in Aptos, California. Qualified in 2008, 18 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6028 Soquel Dr
Aptos, CA 95003-3115
Phone: (831) 454-6487
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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 29841 (CA)

Record details

NPI number1477790608
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , MA
Sole proprietorNo
NPI enumeratedJanuary 9, 2009
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

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 Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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