Active NPI
Nathaniel Eric Robertson, LLMSW
- Clinical Social Worker
- Royal Oak, MI
National Provider Identifier
1215363874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851107190
- Practice address
- 1010 N Campbell Rd Ste 4
Royal Oak, MI 48067-1570 - Phone
- (248) 291-7709
- NPI assigned
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 6851107190 | MI | Primary |
Addresses
Primary practice location
1010 N Campbell Rd Ste 4
Royal Oak, MI 48067-1570
Mailing address
375 Rock Creek CT
Ann Arbor, MI 48104-1857
Other practice location 1
2 Dukes Rd
Nantucket, MA 02554-2611
Phone (734) 678-5826
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 |
|---|---|---|---|
| 6851107190 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Progressive Health | Clinical | Current | Accepting new patients |
Locations
1010 N Campbell Rd
Ste 4
Royal Oak, MI 48067
Phone (248) 291-7709
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1215363874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ROCK CREEK CT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N CAMPBELL RD STE 4",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671570",
"telephone_number": "248-291-7709"
}
],
"practiceLocations": [
{
"address_1": "2 Dukes Rd",
"address_purpose": "LOCATION",
"city": "Nantucket",
"state": "MA",
"postal_code": "025542611",
"country_code": "US",
"telephone_number": "734-678-5826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTSON",
"first_name": "NATHANIEL",
"middle_name": "ERIC",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-16",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851107190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.