Individual provider · Type 1 NPI

Nisaa D'metri Aaliyah Roberson

Clinical Social Worker · Winston Salem, NC

NPI number 1700711470 Active

Practice location

4672 Ebert Rd
Winston Salem, NC 27127-8716

Mailing address

200 E 2nd Ave
Gastonia, NC 28052-4358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023782 (NC)

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…

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About NPI 1700711470

Nisaa D'metri Aaliyah Roberson's National Provider Identifier is 1700711470, issued on Jun 15, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 17, 2026.