Individual provider Active NPI

Roberta Lott, LCSW

  • Clinical Social Worker
  • Statesville, NC
National Provider Identifier
1255987723
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015646 Issued in NC
Practice address
209 Barium Springs Dr
Statesville, NC 28677-8454
Phone
(704) 832-2200
Fax
(704) 838-1541
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C015646 NC Primary

Addresses

Primary practice location

209 Barium Springs Dr
Statesville, NC 28677-8454

Mailing address

PO Box 1
Barium Springs, NC 28010-0001
Phone (704) 832-2200

Other practice location 1

60 Livingston St Ste 100
Asheville, NC 28801-4400
Phone (704) 832-2229

Other practice location 2

507 Courthouse Dr
Wilkesboro, NC 28697-2926
Phone (336) 667-3333

Other practice location 3

151 DeSoto Trl Ste 100
Sylva, NC 28779-6308
Phone (828) 586-8958

Other practice location 4

217 N Edgeworth St
Greensboro, NC 27401-2217
Phone (336) 553-9170

Other practice location 5

1400 Westgate Center Dr Ste 100
Winston Salem, NC 27103-3104
Phone (336) 837-6174

Other practice location 6

5700 Executive Center Dr Ste 200
Charlotte, NC 28212-8833
Phone (800) 320-4157

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

LicenseStateTypeSpecialty
C015646NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1255987723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BARIUM SPRINGS",
            "state": "NC",
            "postal_code": "280100001",
            "telephone_number": "704-832-2200",
            "fax_number": "704-838-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BARIUM SPRINGS DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286778454",
            "telephone_number": "704-832-2200",
            "fax_number": "704-838-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Livingston St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014400",
            "country_code": "US",
            "telephone_number": "704-832-2229",
            "fax_number": "828-236-9825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 Courthouse Dr",
            "address_purpose": "LOCATION",
            "city": "Wilkesboro",
            "state": "NC",
            "postal_code": "286972926",
            "country_code": "US",
            "telephone_number": "336-667-3333",
            "fax_number": "336-667-8749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 DeSoto Trl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287796308",
            "country_code": "US",
            "telephone_number": "828-586-8958",
            "fax_number": "828-586-0649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 N Edgeworth St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274012217",
            "country_code": "US",
            "telephone_number": "336-553-9170",
            "fax_number": "336-553-9175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Westgate Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033104",
            "country_code": "US",
            "telephone_number": "336-837-6174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Executive Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128833",
            "country_code": "US",
            "telephone_number": "800-320-4157",
            "fax_number": "704-494-7796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTT",
        "first_name": "ROBERTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.