KATHY L ROBERTS (NPI# 1902927809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902927809 |
| Entity Type | Individual |
| Full Name | KATHY L ROBERTS |
| Credential | LCSW |
| Practice Address |
15012 Lemoyne Blvd Biloxi MS 39532-5205 |
| Mailing Address |
4105 Hospital St Suite 104 Pascagoula MS 39581-5312 |
| Practice Telephone | 2283968460 |
| Practice Fax Number | 2283961141 |
| Mailing Telephone | 2286969224 |
| Mailing Fax Number | 2286969228 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C2692 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LCSW LICENSE | C2692 | 01 |
| MS | 07703301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255732129 | Kathy Louise Roberts | Nurse Practitioner | 1950 W. Polk St., Gmc Suite 896, Chicago, IL 60612 | 2014-09-10 |
| 1396971750 | Kathy Lawson Roberts | Speech-Language Pathologist | 484 Brighton Rd, Tifton, GA 31794-2009 | 2009-05-29 |
| 1407272727 | Kathy Roberts | Counselor | 298 Washington St, Gloucester, MA 01930-4832 | 2014-03-11 |
| 1730403940 | Kathy Roberts | Massage Therapist | 101 E Hastings Rd, Spokane, WA 99218-4901 | 2010-03-16 |
| 1528117678 | Kathy Roberts | Dietitian, Registered | 9100 Wescott Dr, Suite 102, Flemington, NJ 08822-4670 | 2007-01-09 |
| Street Address |
15012 LEMOYNE BLVD |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912486 | North Bay Family Medical Clinic, Pa | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-04-20 |
| 1356900534 | Seren Emerson Ainsworth II | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532 | 2019-06-11 |
| 1891157467 | Sarah Hill | Nurse Practitioner | 15012 Lemoyne Blvd, Biloxi, MS 39532 | 2016-03-23 |
| 1457788077 | Pete Gonzales | Counselor | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2013-09-27 |
| 1104198266 | Amie L Alexander | Nurse Practitioner | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2012-02-06 |
| 1285967646 | Tu-huong T Tran | Nurse Practitioner | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2009-09-16 |
| 1174736540 | Shawn Patrick Sparks | Specialist/Technologist | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2007-05-08 |
| 1720123003 | Gulf Medical, LLC | Internal Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2007-02-21 |
| 1700961976 | Gerald Frederick Joseph Roy | Social Worker | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-10-26 |
| 1407938368 | Alan Dale Gatlin | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134731102 | Vicki Arlene Blaize | Social Worker | 178 Pat Harrison St, Biloxi, MS 39530-3425 | 2020-08-20 |
| 1396181566 | Marjorie Lee Thara | Social Worker | 180 Debuys Rd Ste 120, Biloxi, MS 39531-4402 | 2013-05-15 |
| 1356785117 | James Thomas Guthrie Jr. | Social Worker | 250 Beauvoir Rd Ste 3, Biloxi, MS 39531-4026 | 2013-04-24 |
| 1619218625 | Latesha Tanise Mcinnis | Social Worker | 1955 Popps Ferry Rd Apt 1127bb, Biloxi, MS 39532-2031 | 2013-03-15 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| 1770775785 | Timothy C Reid | Social Worker | 1636 Popps Ferry Rd Ste 115, Biloxi, MS 39532 | 2007-08-14 |
| 1144380874 | Gail H Johnson | Social Worker | 1903 Pass Rd, Suite E, Biloxi, MS 39531-4103 | 2006-12-11 |
| 1487713319 | Jane Liddell Swett | Social Worker | 2472 Pass Road, Biloxi, MS 39531 | 2006-12-06 |
| 1508400359 | Jill Miller Corradini | Social Worker | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-11-05 |
| 1063065365 | Ricardo Durel Bolton | Social Worker | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-07-17 |
| Find all providers in BILOXI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.