Individual
DEBORAH M ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879-2569
(401) 785-0400
Mailing address
PO BOX 915, PORTSMOUTH, RI 02871-0915
(401) 743-3626
(401) 683-0753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC1
MA
1041C0700X
Clinical Social Worker
110402
MA
1041C0700X
Clinical Social Worker
Primary
ISW01460
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22762-0
BCBS
RI
Enumeration date
09/13/2006
Last updated
08/29/2024
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