Mr Stephen H Roberts, LCSW, CSAC is a
Social Worker - Clinical based in Fond Du Lac, Wisconsin. Mr Stephen H Roberts is licensed to practice in Wisconsin (license number 3105-123) and his current practice location is
40 Camelot Drive, Fond Du Lac, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 907-8201.
NPI number for Mr Stephen H Roberts is 1194891994 and his current mailing address is 40 Camelot Drive, Fond Du Lac, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194891994.
Healthcare Provider's Profile
| Full Name | Mr Stephen H Roberts |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 40 Camelot Drive, Fond Du Lac, Wisconsin |
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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: 1194891994
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 04/21/2010
Medical Identifiers
Medical identifiers for Mr Stephen H Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194891994 | NPI | - | NPPES |
| 39307400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 672 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3105 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3105-123 (Wisconsin) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 672-132 (Wisconsin) | Secondary |
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. Mr Stephen H 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 |
|---|
Mr Stephen H Roberts, LCSW, CSAC
40 Camelot Drive,
Fond Du Lac, WI 54935
Ph: (920) 907-8201 | Mr Stephen H Roberts, LCSW, CSAC
40 Camelot Drive,
Fond Du Lac, WI 54935
Ph: (920) 907-8201 |
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