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

Stephanie Ann Roth, LCSW

Individual provider Clinical Social Worker · NPI 1861383390

Stephanie Ann Roth, LCSW is a Clinical Social Worker in Patchogue, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
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

40 W 4th St Apt 213
Patchogue, NY 11772-2138
Phone: (631) 383-8575
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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 091331 (NY)

Record details

NPI number1861383390
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 12, 2025
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025

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