Slade Magenta Roff, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023076 Issued in PA

Practice address

8080 Old York Rd Ste 224
Elkins Park, PA 19027-1426

Phone

(267) 626-2018

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Slade Roff Talk Wellness

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1417637661
  NPD Authorized official
• Renew Family Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elkins Park, PA
  • NPI 1922458108

  Clinical

  NPD

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1972196277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOCUST ST APT 25H",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191060118",
            "telephone_number": "218-213-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 OLD YORK RD STE 224",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271426",
            "telephone_number": "267-626-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFF",
        "first_name": "SLADE",
        "middle_name": "MAGENTA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW136451",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Riley
• Brian Kenneth Rizen, M.D.
• Rochelle Anderson Robbins, PH.D.
• David S Roby, MD
• Sherri Rodgers-Garnett, RN
• Rachel E Rosen, M.D.
• Edward Rosenbaum, PHD
• Laura Rosenbloom, MPT
• Jay Evan Rothkopf, MD
• Cathy Rubin

• Clinical Social Worker in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.