Provider Demographics
NPI:1376617266
Name:ROBERTS, JANET L (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:L
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:667 OAK FOREST LANE
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-2185
Mailing Address - Country:US
Mailing Address - Phone:316-788-0107
Mailing Address - Fax:316-788-3805
Practice Address - Street 1:6700 W CENTRAL S
Practice Address - Street 2:STE 106
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-6302
Practice Address - Country:US
Practice Address - Phone:316-945-5200
Practice Address - Fax:316-945-5549
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical