Individual provider Active NPI

Ann Denyse Roberts, L.C.S.W.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1518030477
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R 044157 Issued in NY
Practice address
18 East 48TH Street
Suite 1202
New York, NY 10708
Phone
(212) 462-2868
Fax
(914) 361-1917
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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 R 044157 NY Primary

Addresses

Primary practice location

18 East 48TH Street
Suite 1202
New York, NY 10708

Mailing address

18 East 48TH Street
Suite 1202
New York, NY 10003-3019
Phone (212) 462-2868

Other names 1

  • Ann Roberts Professional name

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

LicenseStateTypeSpecialty
R 044157NYMDClinical Social Worker
044157NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marobanlcsw PC Clinical PastSince Sep 29, 2003 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1518030477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EAST 48TH STREET",
            "address_2": "SUITE 1202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033019",
            "telephone_number": "212-462-2868",
            "fax_number": "914-361-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EAST 48TH STREET",
            "address_2": "SUITE 1202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10708",
            "telephone_number": "212-462-2868",
            "fax_number": "914-361-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ANN",
        "middle_name": "DENYSE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R 044157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "ROBERTS",
            "credential": "L.C.S.W., PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.