Victoria S Roberts, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS 12053 Issued in CA

Practice address

405 E Branch St
Suite 105
Arroyo Grande, CA 93420-2849

Phone

(805) 474-4761

NPI assigned

Jul 20, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Victoria S. Roberts, LCSW

  • Clinical Social Worker
  • Arroyo Grande, CA
  • NPI 1750554598
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1780604124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E BRANCH ST",
            "address_2": "SUITE 105",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202849",
            "telephone_number": "805-474-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E BRANCH ST",
            "address_2": "SUITE 105",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202849",
            "telephone_number": "805-474-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "VICTORIA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 12053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UGS",
            "identifier": "551904",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70693F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC",
            "identifier": "W1508",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rex a. Yannis, MD, a Prof. Corp.
• Richard Martin, M.D. Rehabilitative and Restorative Medicine Inc.
• Avery M Ringquist, PT, DPT
• Rising Phoenix Community Organization
• Rising Phoenix Community Organization
• Sienna Robertson
• Michael D Rohla, O.D.
• Milena Maria Romani, SLP
• Darci Rose, DC
• Whitney Leigh Rosilez, PHARMD

• Mental Health Counselor in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.