Active NPI
Brenda Gabrielle Roberts-Cline, LSW
- Social Worker
- Canton, OH
National Provider Identifier
1073734208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S. 0026286
- Practice address
- 919 2ND St NE
Canton, OH 44704-1132 - Phone
- (330) 454-7917
- Fax
- (330) 454-1476
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S. 0026286 | OH | Primary |
Addresses
Primary practice location
919 2ND St NE
Canton, OH 44704-1132
Mailing address
202 Clara CT
Louisville, OH 44641-1010
Phone (330) 875-3051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S. 0026286 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073734208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CLARA CT",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446411010",
"telephone_number": "330-875-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 2ND ST NE",
"city": "CANTON",
"state": "OH",
"postal_code": "447041132",
"telephone_number": "330-454-7917",
"fax_number": "330-454-1476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS-CLINE",
"first_name": "BRENDA",
"middle_name": "GABRIELLE",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S. 0026286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.