Jennifer Roberts

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SS124260 Issued in PA

Practice address

157 Kings Dr
Monaca, PA 15061-2541

Phone

(724) 683-0292

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1699239699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 KINGS DR",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612541",
            "telephone_number": "724-683-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 KINGS DR",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612541",
            "telephone_number": "724-683-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124260",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SS124260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0806200902152011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDER",
            "identifier": "0806200902152011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Taylor Ray, MS CCC-SLP
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• Richard a Covatto DMD PC
• David James Rodgers
• Tara Lynn Roland, M.A., L.B.S
• Molly Rosado, MS, LAPC
• Robert L Rumbaugh III, DMD
• Rust and Sniezek Medical Associates

• Social Worker in Monaca, PA
• Providers in Monaca, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.