Individual provider Active NPI

Roberta Aria Sorvino, MSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1912204249
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027165-1 Issued in NY
Practice address
1 Christopher St
Suite1B
New York, NY 10014-3517
Phone
(212) 242-3321
Fax
(201) 451-0814
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R027165-1 NY Primary
Clinical Social Worker 1041C0700X 44SC00433400 NJ
Marriage & Family Therapist 106H00000X 37F100100300 NJ

Addresses

Primary practice location

1 Christopher St
Suite1B
New York, NY 10014-3517

Mailing address

One Christopher Street
Suite1B
New York, NY 10014-3517
Phone (212) 242-3321

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
44SC00433400NJMDClinical Social Worker
R027165-1NYMDClinical Social Worker
37F100100300NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1912204249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CHRISTOPHER STREET",
            "address_2": "SUITE1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143517",
            "telephone_number": "212-242-3321",
            "fax_number": "201-451-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHRISTOPHER ST",
            "address_2": "SUITE1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143517",
            "telephone_number": "212-242-3321",
            "fax_number": "201-451-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORVINO",
        "first_name": "ROBERTA",
        "middle_name": "ARIA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027165-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00433400",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100100300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.