| Robin Rooth-fogel, Lcsw, Llc | |
|
202 S. Third Street Suite 1 Coopersburg PA 18036 | |
| (610) 282-2015 | |
| (610) 282-2024 |
| Full Name | Robin Rooth-fogel, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 202 S. Third Street, Coopersburg, Pennsylvania |
| Authorized Official Name and Position | Robin Janel Rooth-fogel (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6102822015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Rooth-fogel, Lcsw, Llc 202 S. Third Street Suite 1 Coopersburg PA 18036 Ph: (610) 282-2015 | Robin Rooth-fogel, Lcsw, Llc 202 S. Third Street Suite 1 Coopersburg PA 18036 Ph: (610) 282-2015 |
| NPI Number | 1679113575 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 01/09/2020 |
| Certification Date | 01/09/2020 |
| Medicare PECOS PAC ID | 0345661930 |
|---|---|
| Medicare Enrollment ID | O20200608001538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679113575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robin J Rooth Fogel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730299751 PECOS PAC ID: 7911904495 Enrollment ID: I20061025000532 |
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