Healthcare Provider Details

I. General information

NPI: 1922788488
Provider Name (Legal Business Name): KATHERINE ELIZABETH ROBERTS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAT ROBERTS LCSW

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 LAKEVIEW RD
NORTH LITTLE ROCK AR
72116-9300
US

IV. Provider business mailing address

2500 LAKEVIEW RD
NORTH LITTLE ROCK AR
72116-9300
US

V. Phone/Fax

Practice location:
  • Phone: 501-618-1888
  • Fax:
Mailing address:
  • Phone: 501-618-1888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12993-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: