Individual provider Active NPI

Roberta G Schiffer, MSW

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1366468019
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC03083 Issued in NJ
Practice address
2746 Quicksilver Way
Bel Air, MD 21015-1474
Phone
(410) 734-0408
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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 SC03083 NJ Primary

Addresses

Primary practice location

2746 Quicksilver Way
Bel Air, MD 21015-1474

Mailing address

2746 Quicksilver Way
Bel Air, MD 21015-1474
Phone (410) 734-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170315001395 NJ Practitioner - Clinical Social Worker 1759338114 Practice locations: Demarest, NJ
I20240816000445 MD Practitioner - Clinical Social Worker 1759338114 Practice locations: Bel Air, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Bel Air, MD 21015
Phone (410) 734-0408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC03083NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1366468019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 QUICKSILVER WAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151474",
            "telephone_number": "410-734-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 QUICKSILVER WAY",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151474",
            "telephone_number": "410-734-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFER",
        "first_name": "ROBERTA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC03083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.