Individual provider · Type 1 NPI

Ruby Elizabeth Roberts, LICSW

Clinical Social Worker · Kingston, WA

NPI number 1205641297 Active

Practice location

9566 NE Shipping Ln
Kingston, WA 98346-8701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61531077 (WA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

About NPI 1205641297

Ruby Elizabeth Roberts, LICSW's National Provider Identifier is 1205641297, issued on Feb 8, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kingston, WA. The record was last updated on Aug 20, 2026.