National Provider Identifier

Marie E. Roth, LMSW

Marie E. Roth, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Lockport, NY and a listed phone number of (716) 478-0315.

NPI 1720028350Lockport, NYSocial Worker

Profile Overview

NPI
1720028350
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
June 08, 2006
Last Updated
July 08, 2007

Practice Location

  • 300 Bewley Building
  • Lockport, NY 14094-2943

Phone: (716) 478-0315

Mailing Address

  • 525 Washington St
  • Managed Care Department
  • Buffalo, NY 14203-1711

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1720028350
Entity Type
Individual
Last Name
Roth
First Name
Marie
Middle Name
E.
Credential
LMSW
Mailing Street Address
525 Washington St
Mailing Address Line 2
Managed Care Department
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1711
Mailing Country
US
Mailing Phone
(716) 856-4494
Mailing Fax
(716) 842-1277
Practice Street Address
300 Bewley Building
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-2943
Practice Country
US
Practice Phone
(716) 478-0315
Practice Fax
(716) 478-0338
Enumeration Date
June 08, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)
Other Identifiers
000506354003 (NY, Community Blue), 00030241501 (NY, Univera)