MEDICARE: MS. ROXANNE S. ARTHUR 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
1	1041C0700X	Clinical Social Worker	089183	NY
2	1041C0700X	Clinical Social Worker	44SC06107500	NJ
3	1041C0700X	Clinical Social Worker	110979	TX

General Provider Information

NPI Number	:	1376067447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROXANNE S. ARTHUR LCSW

Provider Business Mailing Address
First Line	:	PO BOX 820811
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75382-0811
Country	:	US
Telephone Number	:	347-857-0354
Fax Number	:	201-352-9608

Provider Business Practice Location Address
First Line	:	PO BOX 820811
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75382-0811
Country	:	US
Telephone Number	:	347-857-0354
Fax Number	:	201-352-9608

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2017
Last Update Date	:	01/02/2026

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