Organization Active NPI

Elizabeth J Roberts PLLC

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1699277962
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-11624 Issued in AZ
Legal business name
ELIZABETH J ROBERTS PLLC
Practice address
5940 W Union Hills Dr Ste 200
Glendale, AZ 85308-1308
Phone
(602) 525-5075
NPI assigned
Mar 2, 2018
Last updated
Mar 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Elizabeth J Roberts, LCSW
Title
Owner
Phone
(602) 525-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCSW-11624 AZ Primary

Addresses

Primary practice location

5940 W Union Hills Dr Ste 200
Glendale, AZ 85308-1308

Mailing address

5940 W Union Hills Dr Ste 200
Glendale, AZ 85308-1308
Phone (602) 525-5075

National Provider Directory

National Provider Directory

Locations

5940 W Union Hills Dr
Ste 200
Glendale, AZ 85308
Phone (602) 525-5075

17505 N 79th Ave
Ste 213D
Glendale, AZ 85308
Phone (602) 525-5075

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1699277962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081308",
            "telephone_number": "602-525-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081308",
            "telephone_number": "602-525-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH J ROBERTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-525-5075",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-11624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.