Individual provider Active NPI

Gregory Nicholas Roberts, CSW

  • Social Worker
  • Metairie, LA
National Provider Identifier
1669192399
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
17465 Issued in LA
Practice address
3925 N I 10 Service Rd W Ste 117
Metairie, LA 70002-6831
Phone
(504) 482-2735
NPI assigned
Sep 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 17465 LA Primary

Addresses

Primary practice location

3925 N I 10 Service Rd W Ste 117
Metairie, LA 70002-6831

Mailing address

3925 N I 10 Service Rd W Ste 117
Metairie, LA 70002-6831
Phone (504) 482-2735

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregory.roberts@pathways.com Direct

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
17465LAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1669192399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N I 10 SERVICE RD W STE 117",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026831",
            "telephone_number": "504-482-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N I 10 SERVICE RD W STE 117",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026831",
            "telephone_number": "504-482-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GREGORY",
        "middle_name": "NICHOLAS",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "17465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.roberts@pathways.com",
            "affiliation": "N",
            "endpointDescription": "Correspondence",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3925 N I 10 Service Rd W Ste 117",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700026831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.