Latessa L Roby, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005885 Issued in GA

Practice address

3645 Marketplace Blvd # 130-198
Atlanta, GA 30344-5747

Phone

(402) 517-0289

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uhs BH Telepsych FL, PLLC

  • Psychiatry Physician
  • Ponte Vedra Beach, FL
  • NPI 1790453033

  Clinical

  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013366319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "address_2": "#130-198",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "402-517-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD # 130-198",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "402-517-0289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8828 N. Stemmons Frwy",
            "address_2": "Ste 225",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75247",
            "country_code": "US",
            "telephone_number": "469-227-7847",
            "fax_number": "469-227-7848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBY",
        "first_name": "LATESSA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "56311",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheherezade A Robisnon, MS
• Kelli J. Robison, OTR
• Luz Robledo, PNP-BC
• Whitney Robledo, RN
• Kevin Victor Roby, MD
• Giorgio A. Roccaro, MD MSCE
• Susan H Rocchini, DPT
• Zinnia Rocha
• Anna Roche, CPNP
• Anne Millicent Roche, L.C.S.W.

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.