Laqwaqnda Roberts-Buckley
Individual provider Active NPI Social Worker · Oxford, MS
NPI 1255596177 · NPPES record last updated Feb 11, 2009
Key facts
- NPI
- 1255596177
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- M7566 (MS)
- Practice address
- 152 Highway 7 S
Oxford, MS 38655-5392 - Phone
- (662) 237-7521
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7566 | MS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M7566 | MS | Yes |
Addresses
Primary practice location
152 Highway 7 S
Oxford, MS 38655-5392
Mailing address
152 Highway 7 S
Oxford, MS 38655-5392
Phone (662) 234-7521
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.