Su Roth
Su Roth is a Clinical Social Worker in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2021.
- Licensed in
- IN
- In the registry since
- 2021
Practice location Address checks out
8633 Castle Creek DrFort Wayne, IN 46804-2759
Phone: (317) 775-4994
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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 34010888A (IN) |
|---|
Record details
| NPI number | 1265023642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 28, 2021 |
| Last updated in NPPES | May 5, 2026 |
| Certification date | May 5, 2026 |
| Mailing address | 8633 Castle Creek Dr, Fort Wayne, IN 46804-2759 |
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