Alerie Terri Roberts
Individual provider Active NPI Social Worker · Ludowici, GA
NPI 1639931363 · NPPES record last updated Feb 11, 2024
Key facts
- NPI
- 1639931363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150.111484 (IL)
- Practice address
- 102 Blueberry CT NE
Ludowici, GA 31316-7880 - Phone
- (229) 591-8519
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 150.111484 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 150.111484 | IL | |
| Social Worker | 104100000X | 150.111484 | IL | Yes |
Addresses
Primary practice location
102 Blueberry CT NE
Ludowici, GA 31316-7880
Mailing address
102 Blueberry CT NE
Ludowici, GA 31316-7880
Phone (229) 591-8519
Other providers in Ludowici, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2024. 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.