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General NPI Number Information
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NPI Number | 1669827705
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Entity Type | Individual
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Provider Name | ELIZABETH ROBERTS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5000 ODONAVAN BLVD STE 404
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City | WALKER
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State | LA
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Zip | 70785-6355
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Country | US
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Telephone | 225-765-5500
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Fax | 225-369-8140
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Provider Business Mailing Address
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Address Line | 5425 BRITTANY DR STE. A
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City | BATON ROUGE
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State | LA
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Zip | 70808-9128
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Country | US
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Telephone | 225-767-3372
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Fax | 225-767-8255
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9070
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License Number State | LA
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