Provider Demographics
NPI:1336398809
Name:SLOAN, ROBERTA I I (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROBERTA
Middle Name:I
Last Name:SLOAN
Suffix:I
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 BRUNSWICK PIKE
Mailing Address - Street 2:GREATER TRENTON BEHAVIORAL HEALTHCARE
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-4103
Mailing Address - Country:US
Mailing Address - Phone:609-396-8878
Mailing Address - Fax:
Practice Address - Street 1:2550 BRUNSWICK PIKE
Practice Address - Street 2:GREATER TRENTON BEHAVIORAL HEALTHCARE
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4103
Practice Address - Country:US
Practice Address - Phone:609-396-8878
Practice Address - Fax:609-396-6024
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055319001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical