Alice Fisher Roberts, PHD, LCSW, CST

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10496970-3501 Issued in UT

Practice address

25 S Main St Ste 100
Centerville, UT 84014-1846

Phone

(801) 872-8862

NPI assigned

Dec 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 15, 2024 through Apr 15, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1891561668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N 100 E",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141876",
            "telephone_number": "801-296-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST STE 100",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141846",
            "telephone_number": "801-872-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALICE",
        "middle_name": "FISHER",
        "credential": "PHD, LCSW, CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "41052",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "10496970-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari Reyes, CSW
• Daniel Rich
• Andrew Rigby, DMD
• Brian D Rigby, DMD
• Kieley J Ritzinger
• Karina M Robinson, CPM LDEM
• Kate Elizabeth Rogers, PH.D.
• Nick Olene Rowe
• Jennifer Aileen Rowley, FNP-C
• Audrey Kay Rutherford, MD

• Clinical Social Worker in Centerville, UT
• Providers in Centerville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.