Active NPI
Roberta Lee Samet, LCSW CLINICAL SOCIAL
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1295575827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R01855201
- Practice address
- 483 4TH Street
Brooklyn, NY 11215-3006 - Phone
- (718) 344-0081
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R01855201 | NY | Primary |
Addresses
Primary practice location
483 4TH Street
Brooklyn, NY 11215-3006
Mailing address
483 4TH Street
Brooklyn, NY 11215-3006
Phone (718) 344-0081
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
| License | State | Type | Specialty |
|---|---|---|---|
| R01855201 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1295575827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 4TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153006",
"telephone_number": "718-344-0081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 4TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153006",
"telephone_number": "718-344-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMET",
"first_name": "ROBERTA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LCSW CLINICAL SOCIAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R01855201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.