MEDICARE: MRS. AUDREY LYNN ROACH-SLIVINSKI LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	11846	FL

General Provider Information

NPI Number	:	1770892267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AUDREY LYNN ROACH-SLIVINSKI LCSW

Provider Business Mailing Address
First Line	:	3552 SANCTUARY BLVD
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-2574
Country	:	US
Telephone Number	:	904-729-2947
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 BEACH BLVD
Second Line	:	SUITE 10
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3405
Country	:	US
Telephone Number	:	904-729-2947
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2010
Last Update Date	:	02/12/2026

Similar Medicare Providers

1578696878 — PODIATRY & BAREFOOT WELLNESS CENTERS LLC
Practice Location Address:

1205 BEACH BLVD
JACKSONVILLE BEACH, FL
32250-3405

Practice Phone: 904-389-0346
Practice Fax: 904-246-5449

1912030214 — HOWARD J GROSHELL DPM
Practice Location Address:

1205 BEACH BLVD
JACKSONVILLE BEACH, FL
32250-3405

Practice Phone: 904-389-0346
Practice Fax: 904-246-5449

1366628075 — ERIC W SHULTZ DPM
Practice Location Address:

1205 BEACH BLVD
JACKSONVILLE BEACH, FL
32250-3405

Practice Phone: 904-389-0346
Practice Fax: 904-246-5449

1518429505 — TIM LYN WORSHAM RPH
Practice Location Address:

1466 COUNTY ROAD 3405
JACKSONVILLE, TX
75766-6341

Practice Phone: 903-284-8325
Practice Fax:

1841986882 — LIBANI
Practice Location Address:

1907 ATLANTIC BLVD
JACKSONVILLE, FL
32207-3405

Practice Phone: 904-388-4712
Practice Fax:

1619653359 — THE MELECA'S
Practice Location Address:

1907 ATLANTIC BLVD STE 1
JACKSONVILLE, FL
32207-3405

Practice Phone: 904-388-4712
Practice Fax:

Directions to “ MRS. AUDREY LYNN ROACH-SLIVINSKI LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.