Individual provider Active NPI

James R Roberts Jr., LCSW

  • Clinical Social Worker
  • Tamarac, FL
National Provider Identifier
1750272746
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW27230 Issued in FL
Practice address
5155 E Sabal Palm Blvd Apt 109
Tamarac, FL 33319-2666
Phone
(954) 612-2814
Fax
(954) 990-7650
NPI assigned
Jul 9, 2025
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW27230 FL Primary

Addresses

Primary practice location

5155 E Sabal Palm Blvd Apt 109
Tamarac, FL 33319-2666

Mailing address

5440 N State Road 7 Ste 215
PMB 1036
Fort Lauderdale, FL 33319-2900
Phone (754) 400-0824

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

LicenseStateTypeSpecialty
SW27230FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates LLC Clinical CurrentSince Oct 21, 2025 Accepting new patients
James Roberts Mental Wellness LLC Clinical PastSince Jul 13, 2025 Accepting new patients

Locations

7261 Sheridan St
Ste 340
Hollywood, FL 33024
Phone (561) 677-3997

1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1750272746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 N STATE ROAD 7 STE 215",
            "address_2": "PMB 1036",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192900",
            "telephone_number": "754-400-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E SABAL PALM BLVD APT 109",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333192666",
            "telephone_number": "954-612-2814",
            "fax_number": "954-990-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW27230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.