Teresa Roberts, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4210 Issued in LA

Practice address

697 Louisiana Rd
Dyess Afb, TX 79607-1141

Phone

(325) 696-2345

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1689963258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "SIMPSON",
            "state": "LA",
            "postal_code": "714740476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA RD",
            "city": "DYESS AFB",
            "state": "TX",
            "postal_code": "796071141",
            "telephone_number": "325-696-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Fisher St",
            "address_2": "ATTN: 81MDOS/SGOW",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395342508",
            "country_code": "US",
            "telephone_number": "228-376-0385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TERESA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Oberle, LMSW-C
• Feyisayo Omoyeni
• Jennifer Nicole Oneal, RN
• Daniel Openshaw, IDMT
• Tanner Lee Risner
• Sandra Sue Rogers, NURSE PRACTITIONER
• Abigail Ann Rose
• Nicholas James Ruppel, D.O.
• Tiffany Lee Russell, DO
• Cynthia Ann Rutherford, D.O.

• Clinical Social Worker in Dyess Afb, TX
• Providers in Dyess Afb, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.