RICHARD M ROTH LCSW-C
NPI 1962977769
Social Worker - Clinical in Silver Spring, MD
- Individual
- Male
- Social Worker
- Clinical
- Opted-Out Medicare
About RICHARD ROTH
This page provides the complete NPI Profile along with additional information for Richard Roth, a provider established in Silver Spring, Maryland with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1962977769 assigned on October 2018. The practitioner's primary taxonomy code is 1041C0700X with license number 23747 (MD). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1962977769 Verify this NPI
- Provider Name
- RICHARD M ROTH LCSW-C
- Other Name
- PINNY ROTH LCSW-C
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 716 KERSEY RD SILVER SPRING, MD 20902
- Location Phone
- (301) 338-6353
- Mailing Address
- 716 KERSEY RD SILVER SPRING, MD 20902
- Mailing Phone
- (301) 338-6353
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-08-2018
- Last Update Date
- 08-15-2022
- Code Navigator
A clinical social worker like Richard Roth is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Richard Roth opted out of Medicare effective on 04-07-2021 until 04-07-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 1501 Sulgrave Ave
Baltimore, MD 21209
(410) 417-7576
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 23747
- License State
- MD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 23747 (MD) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-07-2021
Opt-Out End Date: 04-07-2027
Eligible to Order and Refer? No
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962977769, enumerated as an "individual" on October 08, 2018.
The provider is located at 716 KERSEY RD SILVER SPRING, MD 20902 and the phone number is (301) 338-6353.
Social Worker with taxonomy code 1041C0700X and a focus in Clinical.
