Roberts, Regina Lee

Roberts, Regina Lee is an sole proprietor health care provider with primary practice located at 2401 Dutch Valley Dr. Suite 12, Knoxville TN 37918-1731. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roberts, Regina Lee can be contacted via phone (865) 281-8558.

Contact Information

Primary practice address
2401 Dutch Valley Dr. Suite 12 Knoxville TN 37918-1731
Phone: (865) 281-8558
Fax: (888) 311-9599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW3113 Tennessee

Profile Details

NPI number 1720058118
LBN Legal business name Roberts, Regina Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Feb 10th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720058118 NPPES
Tennessee MEDICAID 3927595

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