Healthcare Provider Details

I. General information

NPI: 1306077235
Provider Name (Legal Business Name): BETH G. HOH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 07/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URMC DEPT OFPSYCH 300 CRITTENDEN BLV D.
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

URMC DEPT OF PSYCH 300 CRITTENDEN BLV D.
ROCHESTER NY
14642
US

V. Phone/Fax

Practice location:
  • Phone: 585-227-5357
  • Fax:
Mailing address:
  • Phone: 585-227-5357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number36673
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR0366731
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: