Michelle L Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW88338 Issued in CA

Practice address

5545 Lemon Ave
Long Beach, CA 90805-5439

Phone

(562) 881-0971

NPI assigned

Oct 2, 2012

Last updated

Jan 25, 2021By the provider in NPPES

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 names 1

• Michelle Kohout Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1275885105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 LEMON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055439",
            "telephone_number": "562-881-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 LEMON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908055439",
            "telephone_number": "562-881-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW88338",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW61882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KOHOUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Belita Sofia Roberts, RN, FNP
• Chantell Lacy Roberts
• Christopher Alan Roberts, L.AC.
• James Andrew Roberts, LCSW
• Jeremy Andrew Roberts, D.C.
• Olena Roberts
• Tamika Angela Roberts
• Ray A Robertso
• Megan Raye Robertson
• Monique Nicol Robertson, LMFT

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.