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Contact Information

TYNESHA ROBERTS, LCSW
4460 S HIGHLAND DR
SALT LAKE CITY, UT84124
 Phone: 801-773-7060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community Health Worker

172V00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for TYNESHA ROBERTS · (Female)

NPI # 1720465362
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 05/04/2015
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10655929-3502
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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