Organization Active NPI

Kami M. Roberts

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1871803221
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R064176-1 Issued in NY
Legal business name
KAMI M. ROBERTS
Practice address
1114 Fulton St
2ND Floor
Brooklyn, NY 11238-2607
Phone
(347) 204-8604
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mr. Kami Meicoro Roberts, LCSW-R
Title
Owner
Phone
(347) 204-8604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R064176-1 NY Primary

Addresses

Primary practice location

1114 Fulton St
2ND Floor
Brooklyn, NY 11238-2607

Mailing address

1275 E 51St St
Apt. 7X
Brooklyn, NY 11234-2246
Phone (347) 204-8604

National Provider Directory

National Provider Directory

Locations

1114 Fulton St
Fl 2
Brooklyn, NY 11238
Phone (347) 204-8604

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1871803221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E 51ST ST",
            "address_2": "APT. 7X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342246",
            "telephone_number": "347-204-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 FULTON ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382607",
            "telephone_number": "347-204-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMI M. ROBERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KAMI",
        "authorized_official_middle_name": "MEICORO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-204-8604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R064176-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.