Individual provider Active NPI

Carolyn Tobey Roath, LMSW

  • Clinical Social Worker
  • Haslett, MI
National Provider Identifier
1487060869
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095888 Issued in MI
Practice address
5505 Star Flower Dr
Haslett, MI 48840-8695
Phone
(517) 242-4426
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095888 MI Primary
Social Worker 104100000X 6801095888 MI

Addresses

Primary practice location

5505 Star Flower Dr
Haslett, MI 48840-8695

Mailing address

5505 Star Flower Dr
Haslett, MI 48840-8695
Phone (517) 242-4426

Other practice location 1

5030 Northwind Dr Ste 108
East Lansing, MI 48823-5034
Phone (517) 336-4335

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
I20210323000114 MI Practitioner - Clinical Social Worker 5294142063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5505 Star Flower Dr
Haslett, MI 48840-8695
Phone (517) 242-4426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jan 12, 2022 Accepting new patients
Carolyn Roath, PLLC Social Worker CurrentSince May 5, 2022 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jan 12, 2022 Accepting new patients
New Community Resources Past Accepting new patients
New Community Resources Past Accepting new patients

Locations

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

3475 Belle Chase Way
Lansing, MI 48911
Phone (517) 744-7389

4136 Legacy Pkwy
Lansing, MI 48911
Phone (517) 492-0517

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.carolynroath@150339.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1487060869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 STAR FLOWER DR",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408695",
            "telephone_number": "517-242-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 STAR FLOWER DR",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408695",
            "telephone_number": "517-242-4426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 Northwind Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488235034",
            "country_code": "US",
            "telephone_number": "517-336-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROATH",
        "first_name": "CAROLYN",
        "middle_name": "TOBEY",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095888",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.