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Doxene L Roberts

Social Worker

Behavioral Health & Social Service Providers

440 E Sandford Blvd # 3492, Mount Vernon, NY 10550-4752

PECOS Enrollment

This provider is enrolled in PECOS as DOXENE ROBERTS.

Based on the most recent information from CMS, provider Doxene L Roberts is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1215177811
Provider Type
Individual
Full Name
Roberts, Doxene L
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/23/2009
Last Updated
3/15/2021

Contact Information

Practice Location

440 E Sandford Blvd # 3492, Mount Vernon, NY 10550-4752

(914) 712-8837

Unlisted Fax

Mailing Location

440 E Sandford Blvd # 3492, Mount Vernon, NY 10550-4752

(914) 712-8837

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License RO53125 New York

Doxene L Roberts

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

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