Organization Active NPI

Roberta Sloan, LCSW, LLC

  • Clinical Social Worker
  • Princeton, NJ
National Provider Identifier
1316490790
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05531900 Issued in NJ
Legal business name
ROBERTA SLOAN, LCSW, LLC
Practice address
145 Witherspoon St
Suite C2
Princeton, NJ 08542-3228
Phone
(609) 430-0450
Fax
(609) 430-0452
NPI assigned
Aug 2, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Ms. Roberta Sloan, LCSWNPI 1336398809
Title
Clinical Social Worker / Manager
Phone
(609) 430-0450

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 Worker 1041C0700X 44SC05531900 NJ Primary

Addresses

Primary practice location

145 Witherspoon St
Suite C2
Princeton, NJ 08542-3228

Mailing address

46 Sturges Way
Princeton, NJ 08540-5335
Phone (609) 430-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161010001930 NJ Part B Supplier - Clinic/Group Practice 5294023131 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, NJ

National Provider Directory

National Provider Directory

Locations

12 Stockton St
Princeton, NJ 08540
Phone (215) 369-5007

145 Witherspoon St
Princeton, NJ 08542
Phone (609) 430-0450

145 Witherspoon St
Ste C2
Princeton, NJ 08542
Phone (609) 430-0450

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1316490790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 STURGES WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405335",
            "telephone_number": "609-430-0450",
            "fax_number": "609-430-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WITHERSPOON ST",
            "address_2": "SUITE C2",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085423228",
            "telephone_number": "609-430-0450",
            "fax_number": "609-430-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA SLOAN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER / MANAGER",
        "authorized_official_telephone_number": "609-430-0450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05531900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.