Active NPI
Suzanne E Roberts, LCSW
- Clinical Social Worker
- Rocky Hill, CT
National Provider Identifier
1669577508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006235
- Practice address
- 1800 Silas Deane Hwy
Rocky Hill, CT 06067-1327 - Phone
- (919) 820-1652
- NPI assigned
- Sep 14, 2006
- 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 | 006235 | CT | Primary |
Addresses
Primary practice location
1800 Silas Deane Hwy
Rocky Hill, CT 06067-1327
Mailing address
104 Isinglass Hill Rd
Portland, CT 06480-1017
Phone (919) 820-1652
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 |
|---|---|---|---|
| 006235 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1669577508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ISINGLASS HILL RD",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064801017",
"telephone_number": "919-820-1652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SILAS DEANE HWY",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060671327",
"telephone_number": "919-820-1652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "SUZANNE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "006235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.