Individual provider Active NPI

Casey Nickole Roberts, MSW

  • Clinical Social Worker
  • Glendale, CA
National Provider Identifier
1316557945
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119759 Issued in MI
Practice address
223 N Jackson St
Glendale, CA 91206-4334
Phone
(818) 241-3111
NPI assigned
Aug 7, 2020
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801119759 MI Primary

Addresses

Primary practice location

223 N Jackson St
Glendale, CA 91206-4334

Mailing address

3932 Los Olivos LN
Glendale, CA 91214-1628
Phone (310) 592-9788

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL croberts@gusd.net Direct Glendale Unified School District

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260122000363 MI Practitioner - Clinical Social Worker 9537646484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16133 Softwater Lake Dr
Linden, MI 48451-9702

1785 W Stadium Blvd
Suite 203a
Ann Arbor, MI 48103-5291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119759MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emh A2 CD, LLC Mental Health CurrentSince Dec 20, 2025 Accepting new patients
Glendale Unified School District PastSince Aug 9, 2020 Accepting new patients

Locations

1601 Briarwood Cir
Ste 400
Ann Arbor, MI 48108
Phone (734) 822-4971

1785 W Stadium Blvd
Ste 203A
Ann Arbor, MI 48103
Phone (734) 212-2872

36400 Woodward Ave
Ste 222
Bloomfield Hills, MI 48304
Phone (248) 629-2799

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1316557945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 LOS OLIVOS LN",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141628",
            "telephone_number": "310-592-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N JACKSON ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064334",
            "telephone_number": "818-241-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CASEY",
        "middle_name": "NICKOLE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "croberts@gusd.net",
            "affiliation": "Y",
            "affiliationName": "Glendale Unified School District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "223 N Jackson St",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912064334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.