Active NPI
Clifford Edward Roberts, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1376859934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73383
- Practice address
- 6762 Lexington Ave
Suite a
Los Angeles, CA 90038-1217 - Phone
- (323) 380-7590
- Fax
- (323) 380-7591
- NPI assigned
- Aug 20, 2010
- Sex
- Male
- 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 | 73383 | CA | Primary |
Addresses
Primary practice location
6762 Lexington Ave
Suite a
Los Angeles, CA 90038-1217
Mailing address
1328 2ND St
Santa Monica, CA 90401-1122
Phone (310) 576-1308
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73383 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1376859934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 2ND ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011122",
"telephone_number": "310-576-1308",
"fax_number": "310-576-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6762 LEXINGTON AVE",
"address_2": "SUITE A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900381217",
"telephone_number": "323-380-7590",
"fax_number": "323-380-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CLIFFORD",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "73383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.