Roberta Heather Myers, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00004302 Issued in WA

Practice address

375 118TH Ave SE
220
Bellevue, WA 98005-3575

Phone

(425) 452-9605

NPI assigned

Jan 21, 2007

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083767073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 173RD AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525720",
            "telephone_number": "425-452-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 118TH AVE SE",
            "address_2": "220",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053575",
            "telephone_number": "425-452-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ROBERTA",
        "middle_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00004302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "MY7714",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzzanne Nelson Myer, MS, RD
• Amy Allison Myers, M.S
• Anne Myers
• Deborah L Myers, N.D., L.M.P.
• Myla A Myers
• Michael Myett, LMHCA
• Myofunctional Clinic of Bellevue, PLLC
• Patrick Myrick
• Myrostar PLLC
• Paul M Mystkowski, MD

• Clinical Social Worker in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinical Social Worker in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.