Individual provider Active NPI

Christine Roberts, LASW

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1790947919
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
01464-A Issued in NV
Practice address
4045 E. Ogden Avenue
Las Vegas, NV 89110-5359
Phone
(702) 382-3905
Fax
(702) 798-9910
NPI assigned
Jun 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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 01464-A NV Primary

Addresses

Primary practice location

4045 E. Ogden Avenue
Las Vegas, NV 89110-5359

Mailing address

PO Box 42534
Las Vegas, NV 89116-0534
Phone (702) 382-3905

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
01464-ANVMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1790947919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42534",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891160534",
            "telephone_number": "702-382-3905",
            "fax_number": "702-452-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E. OGDEN AVENUE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105359",
            "telephone_number": "702-382-3905",
            "fax_number": "702-798-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHRISTINE",
        "credential": "LASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "01464-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.