Trevor Jude Roth, LCSW, LCAS, CCS-I is a
Social Worker - Clinical based in Lake Junaluska, North Carolina. Trevor Jude Roth is licensed to practice in North Carolina (license number C009562) and his current practice location is
545 N Lakeshore Dr Ste 102, Lake Junaluska, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(419) 202-3350.
NPI number for Trevor Jude Roth is 1346482270 and his current mailing address is Po Box 712, Lake Junaluska, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346482270.
Healthcare Provider's Profile
Full Name | Trevor Jude Roth |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 545 N Lakeshore Dr Ste 102, Lake Junaluska, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346482270
- Provider Enumeration Date: 03/24/2009
- Last Update Date: 08/29/2023
Medical Identifiers
Medical identifiers for Trevor Jude Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346482270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C009562 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Trevor Jude Roth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Trevor Jude Roth, LCSW, LCAS, CCS-I Po Box 712, Lake Junaluska, NC 28745-0712 Ph: (419) 202-3350 | Trevor Jude Roth, LCSW, LCAS, CCS-I 545 N Lakeshore Dr Ste 102, Lake Junaluska, NC 28745-9742 Ph: (419) 202-3350 |
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