JAY ROTH LCSW
NPI 1477900090
Social Worker - Clinical in Chicago, IL

Active since May 24, 2016
200 E 115TH ST, CHICAGO, IL 60628(312) 747-2456 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jay Roth Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY ROTH LCSW (NPI 1477900090) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.013563) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1477900090
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAY ROTHCredential: LCSW
Location Address200 E 115TH STChicago, IL 60628-5015
Mailing Address200 E 115th StChicago, IL 60628-5015 · (312) 747-2456
Sole ProprietorYes
Enumeration DateMay 24, 2016
NPI 1477900090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149.013563
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

200 E 115TH ST, Chicago, IL 60628

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
200 E 115TH ST
CHICAGO, IL 60628
Nurse Practitioner (Community Health)
200 E 115TH ST
CHICAGO, IL 60628
Community/Behavioral Health
200 E 115TH ST
CHICAGO, IL 60628
Clinic/Center (Community Health)
200 E 115TH ST
CHICAGO, IL 60628
Family Medicine
200 E 115TH ST
CHICAGO, IL 60628
Community/Behavioral Health
200 E 115TH ST
CHICAGO, IL 60628
Counselor (Professional)
200 E 115TH ST
CHICAGO, IL 60628
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 E 115TH ST
CHICAGO, IL 60628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Roth's NPI number?

The NPI number for Jay Roth is 1477900090. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Jay Roth located?

Jay Roth practices at 200 E 115th St, Chicago, IL 60628. The listed phone number is (312) 747-2456.

What is Jay Roth's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jay Roth was last updated on May 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.