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Provider Profile

Su Roth

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At a glance

About Su Roth

Su Roth is a clinical social worker practicing in Fort Wayne, IN. This provider record is associated with NPI 1265023642.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

IN licenceAs reported to the NPI registry
No. 34010888AAs reported
NPINational Provider Identifier
1265023642Issued 2021

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Su Roth specialize in?

Su Roth is a clinical social worker in Fort Wayne, IN. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Su Roth located?

Su Roth is listed at 8633 Castle Creek Dr, Fort Wayne, IN 46804. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Su Roth's phone number?

The number on file is (317) 775-4994. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Su Roth's NPI number?

Su Roth's National Provider Identifier is 1265023642. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Su Roth been practicing?

Su Roth has 5+ years experience. Registered with an NPI since 2021. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Su Roth confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Su Roth. If this is you, claiming it is free.

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