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AMANDA ROTH LCSW
NPI 1679163000
Social Worker - Clinical in Portland, OR

Active since January 20, 2021
2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-5377 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2021, Feb 3, 2021, Jan 20, 2021 (3 updates tracked since 2021).

About Amanda Roth Lcsw NPPES

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

AMANDA ROTH LCSW (NPI 1679163000) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L11610) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1679163000
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA ROTHCredential: LCSW
Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623
Mailing Address1261 Nw Overton St # 143Portland, OR 97209-3788
Phone(503) 413-5377
Sole ProprietorNo
Enumeration DateJanuary 20, 2021
Last NPPES UpdateJanuary 15, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2024
✔ NPI 1679163000 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 OR · L11610
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.
2801 N GANTENBEIN AVE, Portland, OR 97227
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Other Providers at the Same Location NPPES 20

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

KARI MAGNUSSEN MS
Genetic Counselor, MS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 403-4967
NORTHWEST PEDIATRIC CRITICAL CARE PC
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2794
DR. JANICE FAYE OLSON M.D.
Pediatrics (Pediatric Hematology-Oncology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
RADIOLOGY CONSULTANTS, INC
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 227-2400
KATHY SCHWEITZER CNP
Nurse Practitioner (Neonatal)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2042
DR. JOEL NORMAN LAMPERT PSY.D., LPC, NCC
Psychologist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
DR. NATALIE JUSTINE TEDFORD MD
Pediatrics (Pediatric Emergency Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6500
OMAR J BHUTTA MD
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6565

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 Amanda Roth's NPI number?

The NPI number for Amanda Roth is 1679163000. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Amanda Roth located?

Amanda Roth practices at 2801 N Gantenbein Ave, Portland, OR 97227. The listed phone number is (503) 413-5377.

What is Amanda 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 Amanda Roth was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.