Carley Christine Roberts

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801113884 Issued in MI

Practice address

130 W Wood St
Newaygo, MI 49337-8991

Phone

(231) 206-6519

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Angela Vargas-Avendano MSW PLCGroup PAC ID 7113298100, 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 and National Provider Directory roles.

• Angela Vargas-Avendano MSW PLC

  • Social Worker
  • Newaygo, MI
  • NPI 1144742263
  Medicare reassignment Care Compare group NPD
• Arbor Circle Corporation

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1174601512

  Addiction (Substance Use Disorder)

  NPD (past)
• Arbor Circle Corporation

  • Community/Behavioral Health Agency
  • Newaygo, MI
  • NPI 1780873448
  NPD (past)

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1487207965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 20 MILE RD",
            "city": "KENT CITY",
            "state": "MI",
            "postal_code": "493309735",
            "telephone_number": "616-430-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W WOOD ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378991",
            "telephone_number": "231-206-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CARLEY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-04-12",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801113884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ray
• Rebalance Mental Health, PLLC
• Resilient Minds LLC
• Revive Medical Group Mi PC
• RMG Michigan PC
• Walter Gene Robinson, MA, TLLP, LLPC
• Ronald P. Leyder, DDS
• Erica R. Rose, M.D.
• Eric Alan Rounds, D.C.
• Jodie Lee Ruehmeier, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.