Carson, Roberta Jean

Carson, Roberta Jean is an individual health care provider with primary practice located at 151 S 4Th St Suite 401, Grand Forks ND 58201-4715. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carson, Roberta Jean can be contacted via phone (701) 795-3000.

Contact Information

Primary practice address
151 S 4Th St Suite 401 Grand Forks ND 58201-4715
Phone: (701) 795-3000
Fax: (701) 795-3050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2387 North Dakota

Profile Details

NPI number 1972546000
LBN Legal business name Carson, Roberta Jean
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972546000 NPPES
Minnesota Other 46B37CA BCBS MN PROVIDER NUMBER
Minnesota Other 015533 BCBS MN PROVIDER NUMBER
Minnesota MEDICAID 054519 BCBS MN PROVIDER NUMBER

Popular Providers