Individual provider Active NPI

Doxene L Roberts, LCSW

  • Clinical Social Worker
  • Mount Vernon, NY
National Provider Identifier
1215177811
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO53125 Issued in NY
Practice address
440 E Sandford Blvd # 3492
Mount Vernon, NY 10550-4752
Phone
(914) 712-8837
NPI assigned
Feb 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO53125 NY Primary

Addresses

Primary practice location

440 E Sandford Blvd # 3492
Mount Vernon, NY 10550-4752

Mailing address

440 E Sandford Blvd # 3492
Mount Vernon, NY 10550-4752
Phone (914) 712-8837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120315000172 NY Practitioner - Clinical Social Worker 4183883804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

440 E Sandford Blvd
Suite 3492
Mount Vernon, NY 10550-4752
Phone (914) 712-8837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO53125NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy-Helps LCSW, PLLC Clinical CurrentSince Dec 22, 2020 Accepting new patients

Locations

440 E Sandford Blvd
#3492
Mount Vernon, NY 10550
Phone (914) 712-8837

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1215177811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E SANDFORD BLVD # 3492",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504752",
            "telephone_number": "914-712-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E SANDFORD BLVD # 3492",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504752",
            "telephone_number": "914-712-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DOXENE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO53125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.