Michelle Katalin Robertson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120033 Issued in MA

Practice address

30 Eastbrook Rd Ste 302
Riverside Community Care
Dedham, MA 02026-2084

Phone

(781) 329-4579

Fax

(781) 329-8631

NPI assigned

May 23, 2007

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 MA

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renz Counseling, LLCGroup PAC ID 0042533259, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Renz Counseling, LLC

  • Clinical Social Worker
  • Stoughton, MA
  • NPI 1780001990
  Medicare reassignment Care Compare group NPD
• Neighborhood Care Medical Services PLLC

  • Primary Care Clinic/Center
  • Dedham, MA
  • NPI 1053011460
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1568672350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EASTBROOK RD STE 302",
            "address_2": "RIVERSIDE COMMUNITY CARE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262084",
            "telephone_number": "781-329-4579",
            "fax_number": "781-329-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EASTBROOK RD STE 302",
            "address_2": "RIVERSIDE COMMUNITY CARE",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262084",
            "telephone_number": "781-329-4579",
            "fax_number": "781-329-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MICHELLE",
        "middle_name": "KATALIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Community Mental Health and Retardation Services, Inc.
• Sally Roach
• Donna Helene Robbins, PA
• Robelou Medical Collections Ect
• Robert Mendoza Inc
• Ricardo Anthony Robinson
• Ryan Robinson
• Toni Robinson
• Richard Robledo
• Brianna Rock

• Clinical Social Worker in Dedham, MA
• Providers in Dedham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.