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NPI Code Detail

MEDICARE: SHELIA ANN LEESE-ROBERTS LCSW

MEDICARE: SHELIA ANN LEESE-ROBERTS LCSW
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 WorkerC007400NC

General Provider Information

NPI Number : 1154602449
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELIA ANN LEESE-ROBERTS LCSW
Provider Business Mailing Address
First Line : 3505 VILLAGE DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4513
Country : US
Telephone Number : 910-500-1800
Fax Number :
Provider Business Practice Location Address
First Line : 3505 VILLAGE DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-4513
Country : US
Telephone Number : 910-500-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2011
Last Update Date : 06/16/2025

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