Active NPI
Linda L. Roberts, LCSW, CEAP
- Clinical Social Worker
- Montclair, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05486600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05486600 | NJ | MD | Clinical Social Worker |
| 8975835 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moona Medical Group of New Jersey PC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.