Jason Alan Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3404 Issued in KY

Practice address

920 Frederica St
Suite 308
Owensboro, KY 42301-3050

Phone

(270) 689-0073

NPI assigned

Feb 14, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1679870406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 US HIGHWAY 60 W",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423018400",
            "telephone_number": "270-313-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST",
            "address_2": "SUITE 308",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013050",
            "telephone_number": "270-689-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JASON",
        "middle_name": "ALAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Coutant MD PSC
• Robert C Dalzell,MD PSC
• Amanda Catherine Roberts, APRN
• Chantell S Roberts, RN
• Craig R Roberts, MPT
• London Brooke Roberts, APRN
• Madison Roberts, DPT
• Mary Beth Roberts
• Michelle Ruth Roberts, MSN ANESTHESIA
• Sue Ann Robertson, MSN, APRN, ACNP-BC

• Clinical Social Worker in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.