Roberta Sloan, Lcsw, Llc | |
145 Witherspoon St Suite C2 Princeton NJ 08542-3228 | |
(609) 430-0450 | |
(609) 430-0452 |
Full Name | Roberta Sloan, Lcsw, Llc |
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Speciality | Social Worker |
Location | 145 Witherspoon St, Princeton, New Jersey |
Authorized Official Name and Position | Roberta Sloan (CLINICAL SOCIAL WORKER / MANAGER) |
Authorized Official Contact | 6094300450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Roberta Sloan, Lcsw, Llc 46 Sturges Way Princeton NJ 08540-5335 Ph: (609) 430-0450 | Roberta Sloan, Lcsw, Llc 145 Witherspoon St Suite C2 Princeton NJ 08542-3228 Ph: (609) 430-0450 |
NPI Number | 1316490790 |
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Provider Enumeration Date | 08/02/2016 |
Last Update Date | 08/02/2016 |
Medicare PECOS PAC ID | 5294023131 |
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Medicare Enrollment ID | O20161010001930 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316490790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05531900 (New Jersey) | Primary |
Provider Name | Roberta I Sloan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336398809 PECOS PAC ID: 2769637495 Enrollment ID: I20130304000475 |
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