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

MS. Roberta Jo Theis, MSE

Individual provider Clinical Social Worker · NPI 1609920164

MS. Roberta Jo Theis, MSE is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
39
Licensed in
MN
In the registry since
2007
Specialties on file
2
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Practice location Partly verified

Some contact details are missing from the federal record.

Roberta J Theis 8010 60th Ave N
Minneapolis, MN 55428
Phone: (763) 208-3784
Fax: (763) 208-3784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP1134 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 08691 (MN)

Record details

NPI number1609920164
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSE
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESApril 3, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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