Active NPI
Angela Roberson, LCSW
- Clinical Social Worker
- Pensacola, FL
National Provider Identifier
1194961995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW9254
- Practice address
- 38 S Blue Angel Pkwy
#311
Pensacola, FL 32506-6045 - Phone
- (850) 293-3985
- NPI assigned
- Dec 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW9254 | FL | Primary |
Addresses
Primary practice location
38 S Blue Angel Pkwy
#311
Pensacola, FL 32506-6045
Mailing address
38 S Blue Angel Pkwy
#311
Pensacola, FL 32506-6045
Phone (850) 293-3985
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW9254 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1194961995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 S BLUE ANGEL PKWY",
"address_2": "#311",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325066045",
"telephone_number": "850-293-3985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 S BLUE ANGEL PKWY",
"address_2": "#311",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325066045",
"telephone_number": "850-293-3985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "ANGELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-29",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW9254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.