Roberta A Allred, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

C07429 Issued in NM

Practice address

121 Townsgate PLZ
Clovis, NM 88101-3714

Phone

(575) 742-2620

Fax

(575) 752-3182

NPI assigned

Feb 24, 2010

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Roberta Boydston Former name

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": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1720300288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28220",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875928220",
            "telephone_number": "505-471-5006",
            "fax_number": "505-820-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TOWNSGATE PLZ",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013714",
            "telephone_number": "575-742-2620",
            "fax_number": "575-752-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLRED",
        "first_name": "ROBERTA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NM",
            "license": "C07429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "BOYDSTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hilary Kate Allen, DDS
• Jennifer Kay Allen, LMHC LPAT
• Kayla Allen, D.C.
• Rylee J Allen
• Reda Allison
• Brenda Lynn Alvarado, CLINICAL MENTAL HEAL
• Naomi Lynn Amador, RDH
• Amarillo Vamc
• Maria Dolores Amaro
• Jacqueline Nicole Ambrus, RN, BSN

• School Social Worker in Clovis, NM
• Providers in Clovis, NM by specialty
• School Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.