Jennifer Y Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0431091 Issued in NY

Practice address

201 E 87TH St
Suite 29H
New York, NY 10128-3203

Phone

(212) 831-4809

Fax

(212) 289-3794

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942364914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 87TH ST",
            "address_2": "SUITE 29H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283203",
            "telephone_number": "212-831-4809",
            "fax_number": "212-289-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 87TH ST",
            "address_2": "SUITE 29H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283203",
            "telephone_number": "212-831-4809",
            "fax_number": "212-289-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JENNIFER",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0431091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3283360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "13067P",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Harlayne Roberts, D.O.
• James Kirkland Roberts, M.D.
• Jan L Roberts, LCSW
• Jan Schinkel Roberts, MS-CCC-SLP/TSHH
• Jasmine Roberts
• Jeremy Roberts, MD
• Joenine Elena Roberts, L.M.S.W., L.P.
• John Lawson Roberts
• John Lucas Roberts III, L.M.T., L.AC.
• Jonathan Roberts, DDS

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.