EVANGELA ROEBUCK MSW NPI 1366964082

NPI Information

  • NPI: 1366964082
  • Provider Name: EVANGELA ROEBUCK, MSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1742 CHERYL ST
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 902-5232

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NPI Details

Evangela Roebuck, MSW is a mental health counselor in Clarksdale, MS. Evangela Roebuck, MSW NPI is 1366964082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1742 CHERYL ST
CLARKSDALE, MS
ZIP 38614-218
Phone: (662) 902-5232
Fax: (662) 902-5232

The enumeration date for this NPI number is 7/14/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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