Provider Demographics
NPI:1598082455
Name:ROBERTS, FAITH (LCSW)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2189
Mailing Address - Country:US
Mailing Address - Phone:303-668-1675
Mailing Address - Fax:
Practice Address - Street 1:1367 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3453
Practice Address - Country:US
Practice Address - Phone:303-339-3100
Practice Address - Fax:303-339-3101
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099306111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical