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

Individual provider Clinical Social Worker · NPI 1720112642

MS. Kathryn A Roth, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 1990, 36 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
36
Licensed in
RI
In the registry since
2007
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

475 Hope St
Providence, RI 02906-1639
Phone: (401) 273-2099
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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 ISW00647 (RI)

Record details

NPI number1720112642
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 5, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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