Charles Roberts, LCSW is a
Social Worker - Clinical based in Gulfport, Mississippi. Charles Roberts is licensed to practice in Mississippi (license number C10483) and his current practice location is
1600 Broad Ave, Gulfport, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(228) 865-1719.
NPI number for Charles Roberts is 1932663374 and his current mailing address is Po Box 134, Biloxi, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932663374.
Healthcare Provider's Profile
| Full Name | Charles Roberts |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1600 Broad Ave, Gulfport, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932663374
- Provider Enumeration Date: 01/30/2019
- Last Update Date: 07/29/2024
Medical Identifiers
Medical identifiers for Charles Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932663374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C10483 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Roberts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Roberts, LCSW
Po Box 134,
Biloxi, MS 39533-0134
Ph: (228) 232-1556 | Charles Roberts, LCSW
1600 Broad Ave,
Gulfport, MS 39501-3603
Ph: (228) 865-1719 |
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