Active NPI
Lydia Mittie Roberts, LMSW
- Social Worker
- New Orleans, LA
National Provider Identifier
1497386940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 7385
- Practice address
- 2235 Poydras St Ste a
New Orleans, LA 70119-7561 - Phone
- (504) 814-8001
- Fax
- (504) 814-8002
- NPI assigned
- Feb 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 7385 | LA | Primary |
Addresses
Primary practice location
2235 Poydras St Ste a
New Orleans, LA 70119-7561
Mailing address
332 River Oaks Dr
Destrehan, LA 70047-3513
Phone (504) 236-8126
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lydia.roberts@merakey.org |
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 |
|---|---|---|---|
| 7385 | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1497386940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 RIVER OAKS DR",
"city": "DESTREHAN",
"state": "LA",
"postal_code": "700473513",
"telephone_number": "504-236-8126",
"fax_number": "985-446-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 POYDRAS ST STE A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197561",
"telephone_number": "504-814-8001",
"fax_number": "504-814-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LYDIA",
"middle_name": "MITTIE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "7385",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "lydia.roberts@merakey.org",
"affiliation": "N",
"address_1": "303 Hickory St",
"city": "Thibodaux",
"state": "LA",
"country_code": "US",
"postal_code": "703012011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.