Active NPI
Alexandria Renee Roberts, LCSW
- Clinical Social Worker
- Hazard, KY
National Provider Identifier
1992811707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 252625
- Practice address
- 115 Rockwood LN
Hazard, KY 41701-9415 - Phone
- (606) 436-5761
- Fax
- (606) 436-5797
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 252625 | KY | Primary |
Addresses
Primary practice location
115 Rockwood LN
Hazard, KY 41701-9415
Mailing address
115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100464860 | Medicaid | KY |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1992811707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ROCKWOOD LN",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019415",
"telephone_number": "606-436-5761",
"fax_number": "606-436-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ROCKWOOD LN",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019415",
"telephone_number": "606-436-5761",
"fax_number": "606-436-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "ALEXANDRIA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "252625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100464860",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.