Active NPI
Stacy Roberts, MSW
- Social Worker
- Santa Monica, CA
National Provider Identifier
1578891230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 22312
- Practice address
- 1528 Euclid St Apt 1
Santa Monica, CA 90404-3330 - Phone
- (801) 380-9513
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 22312 | CA | Primary |
Addresses
Primary practice location
1528 Euclid St Apt 1
Santa Monica, CA 90404-3330
Mailing address
1528 Euclid St Apt 1
Santa Monica, CA 90404-3330
Phone (801) 380-9513
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1578891230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 EUCLID ST APT 1",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043330",
"telephone_number": "801-380-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 EUCLID ST APT 1",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043330",
"telephone_number": "801-380-9513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "STACY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "22312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.