Active NPI
Julie Roebuck, LCSW, LLC
- Clinical Social Worker
- Madison, NJ
National Provider Identifier
1033484035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05168000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Roebuck, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209289 | Other | NJ | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Madison, NJ
- NPI 1447340088
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.