Active NPI
Jane E Roraback, MSW
- Social Worker
- East Lansing, MI
National Provider Identifier
1528103272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801014591
- Practice address
- 790 W Lake Lansing Rd
Suite 300
East Lansing, MI 48823-8465 - Phone
- (517) 332-3697
- Fax
- (517) 332-9980
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801014591 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801014591 | MI |
Addresses
Primary practice location
790 W Lake Lansing Rd
Suite 300
East Lansing, MI 48823-8465
Mailing address
790 W Lake Lansing Rd
Suite 300
East Lansing, MI 48823-8465
Phone (517) 332-3697
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1P275136 | Other | MAGELLAN BEHAVIORAL HEALT | |
| 038595 | Other | MI | VALUE OPTIONS |
| 8008968480 | Other | MI | BLUE CROSS BLUE SHIELD |
| 6221030 | Other | UNITED BEHAVIORAL HEALTH |
Other names 1
- Jane Roraback
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801014591 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1528103272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 W LAKE LANSING RD",
"address_2": "SUITE 300",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238465",
"telephone_number": "517-332-3697",
"fax_number": "517-332-9980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 W LAKE LANSING RD",
"address_2": "SUITE 300",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488238465",
"telephone_number": "517-332-3697",
"fax_number": "517-332-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RORABACK",
"first_name": "JANE",
"middle_name": "E",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801014591",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801014591",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "1P275136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "038595",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8008968480",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6221030",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "RORABACK",
"credential": "MSW BCD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.