Provider Demographics
NPI:1598940389
Name:ROBERTS, BABETTE A (MSW)
Entity Type:Individual
Prefix:
First Name:BABETTE
Middle Name:A
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21853 BURNDALE RD
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-9670
Mailing Address - Country:US
Mailing Address - Phone:707-303-5957
Mailing Address - Fax:
Practice Address - Street 1:3725 WESTWIND BLVD
Practice Address - Street 2:STE 101
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-9081
Practice Address - Country:US
Practice Address - Phone:707-565-6989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health