Ellen Roth, LCSW R | |
20 Squadron Boulevard #560, Dr Mark Tarle, New City, NY 10956 | |
(845) 639-3150 | |
(845) 639-0727 |
Full Name | Ellen Roth |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 38 Years |
Location | 20 Squadron Boulevard #560, New City, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326114992 | NPI | - | NPPES |
02275318 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R0361531 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marc Tarle M.d, Pc | 2769407311 | 2 |
Entity Name | Marc Tarle M.d, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245452622 PECOS PAC ID: 2769407311 Enrollment ID: O20051012000734 |
Mailing Address | Practice Location Address |
---|---|
Ellen Roth, LCSW R 62 Gedney Street, Nyack, NY 10960-2208 Ph: (845) 358-0044 | Ellen Roth, LCSW R 20 Squadron Boulevard #560, Dr Mark Tarle, New City, NY 10956 Ph: (845) 639-3150 |
Robin Korngold, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 S Main St, New City, NY 10956 Phone: 845-638-2822 Fax: 845-926-1887 | |
Rossana Spataro, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15 Third St # Ll1, New City, NY 10956 Phone: 914-774-9988 | |
Mr. Randolph Bleiwas Sr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 242 N Main St, New City, NY 10956 Phone: 845-354-9200 Fax: 845-354-8555 | |
Mr. Evan A Seidel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Ash Ct, New City, NY 10956 Phone: 845-548-8597 | |
Ms. Carla Leah Brajkovic, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 N Little Tor Rd, New City, NY 10956 Phone: 845-999-3060 | |
Ms. Betty Gae Benjamin, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 Park Ave, Summit Hills, New City, NY 10956 Phone: 845-354-8847 | |
Rachelle Burns, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Sandstone Trl, New City, NY 10956 Phone: 845-638-3935 |