Active NPI
Carla Renee Roberts
- Clinical Social Worker
- Walnut Creek, CA
National Provider Identifier
1255692893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 130803
- Practice address
- 3021 Citrus Cir
Walnut Creek, CA 94598-2692 - Phone
- (510) 592-4455
- NPI assigned
- May 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 130803 | CA | Primary |
Addresses
Primary practice location
3021 Citrus Cir
Walnut Creek, CA 94598-2692
Mailing address
3021 Citrus Cir Ste 240
Walnut Creek, CA 94598-2691
Phone (510) 592-4455
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 |
|---|---|---|---|
| 130803 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1255692893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 CITRUS CIR STE 240",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982691",
"telephone_number": "510-592-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 CITRUS CIR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982692",
"telephone_number": "510-592-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CARLA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "130803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.