Individual provider Active NPI

Audrey Lynn Roach-Slivinski, LCSW

  • Clinical Social Worker
  • Jacksonville Beach, FL
National Provider Identifier
1770892267
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11846 Issued in FL
Practice address
1205 Beach Blvd
Suite 10
Jacksonville Beach, FL 32250-3405
Phone
(904) 729-2947
NPI assigned
Sep 30, 2010
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 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 11846 FL Primary

Addresses

Primary practice location

1205 Beach Blvd
Suite 10
Jacksonville Beach, FL 32250-3405

Mailing address

3552 Sanctuary Blvd
Jacksonville Beach, FL 32250-2574
Phone (904) 729-2947

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)
Enrolled

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, 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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1770892267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 SANCTUARY BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502574",
            "telephone_number": "904-729-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BEACH BLVD",
            "address_2": "SUITE 10",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503405",
            "telephone_number": "904-729-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH-SLIVINSKI",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "11846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.