Lila L Roberts-Bird Dba Liberty Counseling, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1827-123 Issued in WI

Practice address

315 E Jefferson St
Waupun, WI 53963-2032

Phone

(920) 210-7181

Fax

(920) 324-5700

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Samaritan Counseling Center of the Fox Valley, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menasha, WI
  • NPI 1538175195
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1225192594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W HURON ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231545",
            "telephone_number": "920-210-7181",
            "fax_number": "920-361-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E JEFFERSON ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539632032",
            "telephone_number": "920-210-7181",
            "fax_number": "920-324-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS-BIRD DBA LIBERTY COUNSELING",
        "first_name": "LILA",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1827-123",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "448-124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39637200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamelah Reed
• Eileen Therese Reilly, MD
• Karen E Reynolds, MD
• Ripon Medical Center
• Rob Brooks Ambulance Inc
• Casey Maria Roca, PHD
• Mariano L Rosales Jr., M.D.
• Craig Matthew Rosenthal, DDS
• Teresa Ruch, OPTICIAN
• Krista Sanchez

• Clinical Social Worker in Waupun, WI
• Providers in Waupun, 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 Aug 28, 2008; 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.