Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Roberts, LCSW

Individual provider Mental Health Counselor · NPI 1932663374

Charles Roberts, LCSW is a Clinical Social Worker in Gulfport, Mississippi. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1600 Broad Ave
Gulfport, MS 39501-3603
Phone: (228) 865-1719
Fax: (228) 865-1780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C10483 (MS)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1932663374
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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