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JEFFREY EUGENE ROBERTS LCSW
NPI 1649862517
Social Worker - Clinical in Olivebridge, NY

Active since February 10, 2021Opted out of Medicare · through Feb 11, 2027
2291 STATE ROUTE 28A, OLIVEBRIDGE, NY 12461(845) 418-2118 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Eugene Roberts Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY EUGENE ROBERTS LCSW (NPI 1649862517) is an individual clinical provider in Olivebridge, New York, licensed in New York (090769) and active in the NPI registry since February 2021. He has opted out of Medicare through February 11, 2027.

NPPES Registry Identity

NPI1649862517
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEFFREY EUGENE ROBERTSCredential: LCSW
Location Address2291 STATE ROUTE 28AOlivebridge, NY 12461-5709
Mailing Address2291 State Route 28aOlivebridge, NY 12461-5709 · (845) 418-2118
Phone(845) 418-2118
Sole ProprietorYes
Enumeration DateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
✔ NPI 1649862517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 090769
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2291 STATE ROUTE 28A, Olivebridge, NY 12461
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jeffrey Eugene Roberts Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2021 through February 11, 2027.

Opt-Out Effective DateFebruary 11, 2021
Opt-Out In Effect ThroughFebruary 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Roberts's NPI number?

The NPI number for Jeffrey Roberts is 1649862517. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Jeffrey Roberts located?

Jeffrey Roberts practices at 2291 State Route 28A, Olivebridge, NY 12461. The listed phone number is (845) 418-2118.

What is Jeffrey Roberts's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeffrey Roberts enrolled in Medicare?

No. Jeffrey Roberts has opted out of Medicare through February 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeffrey Roberts was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.