Provider Demographics
NPI:1871945444
Name:ROBERTS, CHARI L (LISW)
Entity type:Individual
Prefix:
First Name:CHARI
Middle Name:L
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:CHARI
Other - Middle Name:L
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:18003 WOODSFIELD RD # 2
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43724-9709
Mailing Address - Country:US
Mailing Address - Phone:740-732-7036
Mailing Address - Fax:740-732-7037
Practice Address - Street 1:18003 WOODSFIELD RD # 2
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:OH
Practice Address - Zip Code:43724-9709
Practice Address - Country:US
Practice Address - Phone:740-732-7036
Practice Address - Fax:740-732-7037
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.7404-S1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical