Active NPI
Lauryn Alice Roberts
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1457239170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18207
- Practice address
- 8130 Baymeadows Cir W
Jacksonville, FL 32256-1880 - Phone
- (904) 608-9881
- NPI assigned
- Aug 21, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 18207 | FL | Primary |
Addresses
Primary practice location
8130 Baymeadows Cir W
Jacksonville, FL 32256-1880
Mailing address
2259 Nettlebrook St N
Jacksonville, FL 32218-1009
Phone (904) 524-6845
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18207 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1457239170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 NETTLEBROOK ST N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322181009",
"telephone_number": "904-524-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 BAYMEADOWS CIR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322561880",
"telephone_number": "904-608-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LAURYN",
"middle_name": "ALICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "18207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.