Jessica Roberto, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

219421 Issued in MA

Practice address

111 Edgartown Rd
Vineyard Haven, MA 02568-5699

Phone

(508) 693-7900

Fax

(508) 696-0401

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

No

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

Enrolled in MA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• High Point Treatment Center Inc.

  • Counselor
  • New Bedford, MA
  • NPI 1518996354
  Medicare reassignment NPD

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1457781023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685699",
            "telephone_number": "508-693-7900",
            "fax_number": "508-696-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTO",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "219421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Care Massachusetts PLLC
• Rewilding Wellness LLC
• Joan Ella Rice
• Richard John McNulty D.M.D. LLC
• Elizabeth Renee Ricketts
• Cynthia Ann Robinson, M.A.
• Kara M Rogers, CRNA, FNP-C
• Amanda Harmony Saltzberg, M.A., L.M.H.C.
• George Augustus Santos Jr., O.D.
• Elina Fishman Savage

• Clinical Social Worker in Vineyard Haven, MA
• Providers in Vineyard Haven, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.