Individual provider Active NPI

Michael S. Roehrs, LISW

  • Social Worker
  • Perrysburg, OH
National Provider Identifier
1023001062
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0002078 Issued in OH
Practice address
975 Commerce Dr
Perrysburg, OH 43551-5228
Phone
(419) 874-8257
Fax
(419) 874-9960
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I0002078 OH Primary

Addresses

Primary practice location

975 Commerce Dr
Perrysburg, OH 43551-5228

Mailing address

975 Commerce Dr
Perrysburg, OH 43551-5228
Phone (419) 874-8257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000710 OH Practitioner - Clinical Social Worker 3779621446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Meigs Psychological Service Social Worker CurrentSince Sep 12, 2009 Accepting new patients
Fort Meigs Wellness & Behavioral Health LLC CurrentSince Apr 10, 2024 Accepting new patients

Locations

975 Commerce Dr
Perrysburg, OH 43551
Phone (419) 874-0274

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Meigs Wellness and Behavioral Health LLC 8 clinicians

Practice addresses (Care Compare)

975 Commerce Dr
Perrysburg, OH 43551-5228
Phone (419) 874-8257

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1023001062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515228",
            "telephone_number": "419-874-8257",
            "fax_number": "419-874-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515228",
            "telephone_number": "419-874-8257",
            "fax_number": "419-874-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEHRS",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0002078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.