Active NPI
Hayward B Roberts, LMSW
- Social Worker
- Pensacola, FL
National Provider Identifier
1720011646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7140
- Practice address
- 312 Kenmore Rd
Pensacola, FL 32503-7462 - Phone
- (850) 471-7608
- Fax
- (850) 471-7744
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 7140 | SC | Primary |
Addresses
Primary practice location
312 Kenmore Rd
Pensacola, FL 32503-7462
Mailing address
2833 Frederick St
Cantonment, FL 32533-5734
Phone (850) 471-7608
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 |
|---|---|---|---|
| 7140 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Veteran Affairs | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Pensacola, FL
- NPI 1578596185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1720011646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2833 FREDERICK ST",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325335734",
"telephone_number": "850-471-7608",
"fax_number": "850-471-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 KENMORE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325037462",
"telephone_number": "850-471-7608",
"fax_number": "850-471-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "HAYWARD",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "SC",
"license": "7140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.