Organization Active NPI

Julie Roebuck, LCSW, LLC

  • Clinical Social Worker
  • Madison, NJ
National Provider Identifier
1033484035
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05168000 Issued in NJ
Legal business name
JULIE ROEBUCK, LCSW, LLC
Practice address
14 Main St
Suite 203
Madison, NJ 07940-1818
Phone
(201) 343-9155
Fax
(201) 343-9155
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Roebuck, LCSWNPI 1447340088
Title
LCSW
Phone
(201) 343-9155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05168000 NJ Primary

Addresses

Primary practice location

14 Main St
Suite 203
Madison, NJ 07940-1818

Mailing address

14 Main St
Suite 203
Madison, NJ 07940-1818
Phone (201) 343-9155

Other identifiers 1

IdentifierTypeStateIssuer
209289OtherNJMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

14 Main St
Ste 203
Madison, NJ 07940
Phone (201) 343-9155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1033484035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAIN ST",
            "address_2": "SUITE 203",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401818",
            "telephone_number": "201-343-9155",
            "fax_number": "201-343-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAIN ST",
            "address_2": "SUITE 203",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401818",
            "telephone_number": "201-343-9155",
            "fax_number": "201-343-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE ROEBUCK, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "ROEBUCK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "201-343-9155",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05168000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "209289",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.