Robert B Slater, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R057745 Issued in NY

Practice address

24 Copeland Ave
Homer, NY 13077

Phone

(607) 753-1611

Fax

(607) 753-3165

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1386706299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COPELAND AVE",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771529",
            "telephone_number": "607-753-1611",
            "fax_number": "607-753-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COPELAND AVE",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "13077",
            "telephone_number": "607-753-1611",
            "fax_number": "607-753-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Roy Quito Rubio, PA
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• Grace Shilliff, LMHC
• Sky Blue Health LLC
• Robin L Staring, LPN
• Yvonne Marie Starner, LCSW
• Rachel Stockwin, MS, CCC-SLP
• Sheila Marie Sunderland, LPN
• Andras Szabo, MD

• Clinical Social Worker in Homer, NY
• Providers in Homer, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.