Laura Roberts, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1675-121 Issued in WI

Practice address

2209 Eastern Ave
Plymouth, WI 53073-4281

Phone

(920) 892-7606

NPI assigned

Mar 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life Point Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, WI
  • NPI 1407097371
  NPD

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1083008684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 N 10TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812619",
            "telephone_number": "920-207-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 EASTERN AVE",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734281",
            "telephone_number": "920-892-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LAURA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1675-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083008684",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dona Ann Richardson, ATC
• James Rayohl Richter II, O.D.
• Jennifer Rinehart
• Anya Nicole Weaver Ring, DO
• Sharon R Roberts-Suchon, O.D.
• Kaylynn Rusch, DPT
• Joel James Sabourin, DPT
• Sara Kregel Incorporated
• Lacey Lyn Schafer, NP-BC
• Jennifer Lee Scheel, APNP

• Clinical Social Worker in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.