Provider Demographics
NPI:1255655122
Name:ROTHE, SARAH BETH CURTIN (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH CURTIN
Last Name:ROTHE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:BETH
Other - Last Name:CURTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 54TH STREET
Mailing Address - Street 2:SOCIAL WORK
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94608
Mailing Address - Country:US
Mailing Address - Phone:510-879-5003
Mailing Address - Fax:
Practice Address - Street 1:915 54TH STREET
Practice Address - Street 2:SOCIAL WORK
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94608
Practice Address - Country:US
Practice Address - Phone:510-879-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA281301041C0700X, 1041S0200X
CA255041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical