Jerome Edward Roberson, L.M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801075198 Issued in MI

Practice address

46775 Judd Rd
Belleville, MI 48111-8963

Phone

(734) 294-9111

NPI assigned

Jun 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Wright and Roberson LLCGroup PAC ID 2466816103, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wright & Roberson LLC

  dba Promoting Positive Images

  • Clinical Social Worker
  • Belleville, MI
  • NPI 1962639740
  Medicare reassignment Care Compare group NPD Authorized official
• Optum Behavioral Care of Colorado, P.C.

  dba Oakland Psychological Clinic of Michigan

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1851161285
  Medicare reassignment Care Compare group NPD
• Oakland Psychological Clinic, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomfield Hills, MI
  • NPI 1578546263
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1306073713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 SUMPTER RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481114905",
            "telephone_number": "734-294-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46775 JUDD RD",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481118963",
            "telephone_number": "734-294-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JEROME",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801075198",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801075198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliance Home Healthcare
• Restored Hope Guidance Center, LLC
• Reynolds Chiropractic Center Inc.
• Linda Riley
• Nessreen Sobh Rizvi, M.D.
• Heather Marie-Hutchins Robert, MA, LLPC
• Betty Rodgers, LCSW
• Nathan Brian Rose, PTA
• Beth Rosenberg, D.D.S.
• Anthony Domenic Rotondo, DO

• Social Worker in Belleville, MI
• Providers in Belleville, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.