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TANYA ROBERTS NPI 1912042375


NPI Information

NPI: 1912042375
Provider Name: TANYA ROBERTS
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
404 W PINE ST STE 1
LODI, CA
ZIP 95240
Phone: (209) 401-2134
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Tanya Roberts is a clinical social worker in Lodi, CA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Tanya Roberts NPI is 1912042375. 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:

404 W PINE ST STE 1
LODI, CA
ZIP 95240-048
Phone: (209) 401-2134

The enumeration date for this NPI number is 2/21/2007 and was last updated on 1/4/2024.


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
1101YP2500XCounselorProfessional20414CALIFORNIANo
21041C0700XSocial WorkerClinical20414CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110969254OTHERCALIFORNIACAQH

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: 5/5/2024

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