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NPI Code Detail

MEDICARE: SHELBY ROBERTS CSW

MEDICARE: SHELBY ROBERTS CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1851185938
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY ROBERTS CSW
Provider Business Mailing Address
First Line : PO BOX 3044
Second Line :
City : WEST SOMERSET
State : KY
Zip : 42564-3044
Country : US
Telephone Number : 606-687-2038
Fax Number : 606-200-3654
Provider Business Practice Location Address
First Line : 200 BELMONT AVE
Second Line :
City : SOMERSET
State : KY
Zip : 42501-2419
Country : US
Telephone Number : 606-687-2038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2025
Last Update Date : 05/04/2026

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