Roberts, Barbara
Roberts, Barbara is an sole proprietor health care provider with primary practice located at 1 Knollwood Dr Suite 6, Canterbury CT 06331-1470. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roberts, Barbara can be contacted via phone (860) 546-9511.Contact Information
Primary practice address
1 Knollwood Dr Suite 6
Canterbury CT 06331-1470
Phone: (860) 546-9511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 007467 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 077518 | New York |
Profile Details
| NPI number | 1750672069 |
|---|---|
| LBN Legal business name | Roberts, Barbara |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Oct 23rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750672069 | NPPES |
| Connecticut | MEDICAID | 008031064 |
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