Roberts, Deborah Corinne
Roberts, Deborah Corinne is an sole proprietor health care provider with primary practice located at 4049 Big Meadow Way , Rancho Cordova CA 95742-7740. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Roberts, Deborah Corinne can be contacted via phone (916) 956-4425.Contact Information
Primary practice address
4049 Big Meadow Way
Rancho Cordova CA 95742-7740
Phone: (916) 956-4425
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LCSW24999 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 24999 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW24999 | California |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1063896090 |
|---|---|
| LBN Legal business name | Roberts, Deborah Corinne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2015 |
| Last updated | Feb 5th, 2024 - about 2 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 | 1063896090 | NPPES |
| California | MEDICAID | LCSW24999 |
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