Active NPI
Cheyenne Rae Roberts
- Social Worker
- Cincinnati, OH
National Provider Identifier
1235737859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2005645
- Practice address
- 2805 Gilbert Ave
Cincinnati, OH 45206-1210 - Phone
- (833) 378-4827
- NPI assigned
- Oct 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2005645 | OH | Primary |
| Social Worker | 104100000X | 254648 | KY |
Addresses
Primary practice location
2805 Gilbert Ave
Cincinnati, OH 45206-1210
Mailing address
3152 Summitrun Dr
Independence, KY 41051-6720
Phone (513) 570-8797
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 |
|---|---|---|---|
| 254648 | KY | MD | Social Worker |
| S.2005645 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1235737859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3152 SUMMITRUN DR",
"city": "INDEPENDENCE",
"state": "KY",
"postal_code": "410516720",
"telephone_number": "513-570-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 GILBERT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061210",
"telephone_number": "833-378-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "CHEYENNE",
"middle_name": "RAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2005645",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KY",
"license": "254648",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.