Individual provider Active NPI

Linda L. Roberts, LCSW, CEAP

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1922458447
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05486600 Issued in NJ
Practice address
209 Cooper Ave
Suite 5D
Montclair, NJ 07043-1883
Phone
(973) 261-8645
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05486600 NJ Primary
Clinical Social Worker 1041C0700X 8975835 NY

Addresses

Primary practice location

209 Cooper Ave
Suite 5D
Montclair, NJ 07043-1883

Mailing address

209 Cooper Ave
Suite 5D
Montclair, NJ 07043-1883
Phone (973) 261-8645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260116000045 NJ Practitioner - Clinical Social Worker 1052898475 Reassigns benefits to 1 organization
I20260427002806 NY Practitioner - Clinical Social Worker 1052898475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moona Medical Group of New Jersey PCGroup PAC ID 9133643976, 6 clinicians

Practice addresses (Care Compare)

221 River St
Suite 9
Hoboken, NJ 07030-5990
Phone (503) 427-8095

510 W 5TH St
Apt 19F
New York, NY 10019-5283
Phone (503) 714-5905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05486600NJMDClinical Social Worker
8975835NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Moona Medical Group of New Jersey PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

510 5th Ave
Apt 19F
New York, NY 10036
Phone (503) 714-5905

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1922458447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COOPER AVE",
            "address_2": "SUITE 5D",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431883",
            "telephone_number": "973-261-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COOPER AVE",
            "address_2": "SUITE 5D",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431883",
            "telephone_number": "973-261-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LINDA",
        "middle_name": "L.",
        "credential": "LCSW, CEAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05486600",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "8975835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.