Individual provider Active NPI

James Anthony Roberts, MSW

  • Clinical Social Worker
  • Cusseta, GA
National Provider Identifier
1003555095
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MSW009835 Issued in GA
Practice address
132 Old Louvale Rd
Cusseta, GA 31805-3908
Phone
(706) 580-1204
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X MSW009835 GA Primary

Addresses

Primary practice location

132 Old Louvale Rd
Cusseta, GA 31805-3908

Mailing address

132 Old Louvale Rd
Cusseta, GA 31805-3908
Phone (706) 580-1204

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://outlook.live.com/mail/0/inbox/id/AQQkADAwATYwMAItOTY5My04YzQ4LTAwAi0wMAoAEADqhnyv36FLX5%2FeNJo1Cdw4 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSW009835GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1003555095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OLD LOUVALE RD",
            "city": "CUSSETA",
            "state": "GA",
            "postal_code": "318053908",
            "telephone_number": "706-580-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD LOUVALE RD",
            "city": "CUSSETA",
            "state": "GA",
            "postal_code": "318053908",
            "telephone_number": "706-580-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW009835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://outlook.live.com/mail/0/inbox/id/AQQkADAwATYwMAItOTY5My04YzQ4LTAwAi0wMAoAEADqhnyv36FLX5%2FeNJo1Cdw4",
            "affiliation": "N",
            "endpointDescription": "mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mail",
            "address_1": "132 Old Louvale Rd",
            "city": "Cusseta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "318053908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cusseta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.