Individual provider Active NPI

Roberta-Joy Mary Taylor, LSW

  • Clinical Social Worker
  • Rio Grande, NJ
National Provider Identifier
1225796725
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06457700 Issued in NJ
Practice address
1076 Rte 47 South
Rio Grande, NJ 08242
Phone
(609) 741-6363
Fax
(609) 939-4450
NPI assigned
Dec 1, 2021
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 44SL06457700 NJ Primary

Addresses

Primary practice location

1076 Rte 47 South
Rio Grande, NJ 08242

Mailing address

1076 Rte 47 South
Rio Grande, NJ 08242
Phone (609) 741-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06457700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Care Partnership, Inc CurrentSince Dec 5, 2021 Accepting new patients
Cooperative Care Partnership, Inc. PastSince Dec 5, 2021 Accepting new patients

Locations

1076 Route 47 S
Rio Grande, NJ 08242
Phone (609) 741-6363

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1225796725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 RTE 47 SOUTH",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "08242",
            "telephone_number": "609-741-6363",
            "fax_number": "609-939-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 RTE 47 SOUTH",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "08242",
            "telephone_number": "609-741-6363",
            "fax_number": "609-939-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROBERTA-JOY",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06457700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.