Active NPI
Karen Bonita Roberts, CMSW, LADAC
- Social Worker
- Nashville, TN
National Provider Identifier
1194913277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CMSW6205
- Practice address
- 1017 Mitchell Rd
Nashville, TN 37206-1113 - Phone
- (615) 306-2414
- NPI assigned
- Oct 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LADAC959 | TN | |
| Social Worker | 104100000X | CMSW6205 | TN | Primary |
Addresses
Primary practice location
1017 Mitchell Rd
Nashville, TN 37206-1113
Mailing address
1017 Mitchell Rd
Nashville, TN 37206-1113
Phone (615) 306-2414
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LADAC959 | TN | MD | Addiction (Substance Use Disorder) Counselor |
| CMSW6205 | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192320000000",
"number": "1194913277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 MITCHELL RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372061113",
"telephone_number": "615-306-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 MITCHELL RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372061113",
"telephone_number": "615-306-2414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KAREN",
"middle_name": "BONITA",
"name_prefix": "Mrs.",
"credential": "CMSW, LADAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-14",
"last_updated": "2007-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "LADAC959",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "CMSW6205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.