Active NPI
Emmett Reaford Roberts Jr., MSW, ACSW, LCSW
- Clinical Social Worker
- Oklahoma City, OK
National Provider Identifier
1285620377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1640
- Practice address
- 1209 Sovereign Row
Oklahoma City, OK 73108-1824 - Phone
- (405) 942-5570
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- 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 | 1640 | OK | Primary |
Addresses
Primary practice location
1209 Sovereign Row
Oklahoma City, OK 73108-1824
Mailing address
1421 NW 105TH Ter
Oklahoma City, OK 73114-5205
Phone (405) 752-7079
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safy | Past | Accepting new patients | |
| Specialized Alternatives for Families and Youth | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1497872204
-
- Foster Care Agency
- Oklahoma City, OK
- NPI 1437461365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285620377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 NW 105TH TER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731145205",
"telephone_number": "405-752-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 SOVEREIGN ROW",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731081824",
"telephone_number": "405-942-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "EMMETT",
"middle_name": "REAFORD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSW, ACSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "1640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.