MEDICARE: CARLEEN A ROBERTS LMSW

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	202618808	MO
2	1041C0700X	Clinical Social Worker	06007	KS
3	104100000X	Social Worker	8733	KS

General Provider Information

NPI Number	:	1639501364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLEEN A ROBERTS LMSW

Provider Business Mailing Address
First Line	:	200 MAINE ST STE A
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66044-1396
Country	:	US
Telephone Number	:	785-843-9192
Fax Number	:

Provider Business Practice Location Address
First Line	:	2955 SW WANAMAKER DR STE B
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-5341
Country	:	US
Telephone Number	:	785-979-1772
Fax Number	:

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

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	06/11/2026

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Directions to “ CARLEEN A ROBERTS LMSW” Practice Location

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