National Provider Identifier
Bethany Robin Roth, LMSW
Bethany Robin Roth, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Brockport, NY and a listed phone number of (585) 409-5232.
Profile Overview
- NPI
- 1184261042
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- December 10, 2019
- Last Updated
- February 04, 2025
Practice Location
- 300 West Ave
- Brockport, NY 14420-1118
Phone: (585) 409-5232
Mailing Address
- 135 Liberty St Uppr
- Batavia, NY 14020-3534
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1184261042
- Entity Type
- Individual
- Last Name
- Roth
- First Name
- Bethany
- Middle Name
- Robin
- Name Prefix
- MS.
- Credential
- LMSW
- Mailing Street Address
- 135 Liberty St Uppr
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-3534
- Mailing Country
- US
- Mailing Phone
- (585) 409-5232
- Practice Street Address
- 300 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1118
- Practice Country
- US
- Practice Phone
- (585) 409-5232
- Enumeration Date
- December 10, 2019
- Last Updated
- February 04, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 04, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)