Kristin Louise Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IP541 Issued in TN

Practice address

419 High St
Sevierville, TN 37862-3816

Phone

(865) 774-2444

Fax

(865) 774-4235

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Tennessee, HSC, College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255450045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 HIGH ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623816",
            "telephone_number": "865-774-2444",
            "fax_number": "865-774-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 HIGH ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623816",
            "telephone_number": "865-774-2444",
            "fax_number": "865-774-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTIN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "IP541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3691656",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard F. Patrick,O.D.,Inc.
• Kimberly Richardson, PHARMD
• Roger Riedel, M.D.
• Robert J. Wheeler (Bess & Company)
• Jodi K Roberts, PMHNP-BC
• Amy Rose Robertson, FNP-BC
• David R Robins Sr., D.O.
• Leandreal Robinson, MSW
• Rocky Top Medical Center
• Amanda Rodgers, IBCLC

• Clinical Social Worker in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.