Barbara Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007467 Issued in CT

Practice address

1 Knollwood Dr
Suite 6
Canterbury, CT 06331-1470

Phone

(860) 546-9511

NPI assigned

Apr 21, 2011

Last updated

Oct 23, 2014By the provider in NPPES

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 1

Other names 1

• Barbara Berdinka Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1750672069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KNOLLWOOD DR",
            "address_2": "SUITE 6",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311470",
            "telephone_number": "860-546-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KNOLLWOOD DR",
            "address_2": "SUITE 6",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311470",
            "telephone_number": "860-546-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BARBARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007467",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008031064",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "BERDINKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Athena Molkenthin
• George V Moore Jr.
• Rebecca Congdon Paquette, DPT
• Philip H. Brown Dba Canterbury Psychotherapy Associates
• Josey Politowicz, LCSW
• Speech Hearoes LLC
• David Andre St Germain, PHARM D
• Erinn Tanguay
• Stefanie A Trudeau, CD(DONA)
• Walgreen Co (Walgreens #19836)

• Clinical Social Worker in Canterbury, CT
• Providers in Canterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.