Provider Demographics
NPI:1790655967
Name:CHARLES ROBERTS LCSW & ASSOCIATES LLC
Entity type:Organization
Organization Name:CHARLES ROBERTS LCSW & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:228-217-8277
Mailing Address - Street 1:178 MAIN ST STE 301B
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-3829
Mailing Address - Country:US
Mailing Address - Phone:228-217-8277
Mailing Address - Fax:
Practice Address - Street 1:178 MAIN ST STE 301B
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-3829
Practice Address - Country:US
Practice Address - Phone:228-217-8277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty