Healthcare Provider Details

I. General information

NPI: 1518999002
Provider Name (Legal Business Name): CARRIE M ROBERTS LCSW LMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 WEST THIRD
MCCOOK NE
69001
US

IV. Provider business mailing address

1012 WEST THIRD PO BOX 818
MCCOOK NE
69001
US

V. Phone/Fax

Practice location:
  • Phone: 308-345-2770
  • Fax: 308-345-2557
Mailing address:
  • Phone: 308-345-2770
  • Fax: 308-345-2557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number970
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2129
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: