Active NPI
Josephine P Roberto, M.S.W., L.C.S.W.
- Clinical Social Worker
- Huntington, NY
National Provider Identifier
1346286390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R032251-1
- Practice address
- 40 Cliftwood Dr
Huntington, NY 11743-2103 - Phone
- (631) 806-2093
- Fax
- (631) 223-4713
- NPI assigned
- Jun 20, 2006
- 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 | R032251-1 | NY | Primary |
Addresses
Primary practice location
40 Cliftwood Dr
Huntington, NY 11743-2103
Mailing address
40 Cliftwood Dr
Huntington, NY 11743-2103
Phone (631) 806-2093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02218826 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060713000254 | NY | Practitioner - Clinical Social Worker | 7315950466 | Practice locations: Huntington, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
40 Cliftwood Dr
Huntington, NY 11743-2103
Phone (631) 806-2093
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R032251-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- josephineroberto@tdh.allscriptsdirect.net
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": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346286390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CLIFTWOOD DR",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432103",
"telephone_number": "631-806-2093",
"fax_number": "631-223-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CLIFTWOOD DR",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432103",
"telephone_number": "631-806-2093",
"fax_number": "631-223-4713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTO",
"first_name": "JOSEPHINE",
"middle_name": "P",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R032251-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02218826",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.