Kelly Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW0196514 Issued in PA

Practice address

2520 Hampton Rd Ste 18
Erie, PA 16502-2073

Phone

(814) 812-5491

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

Yes

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 PA

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Greg Purchase LLC

  • Community/Behavioral Health Agency
  • Erie, PA
  • NPI 1083113799
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679090534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 HOME RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093233",
            "telephone_number": "814-812-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HAMPTON RD STE 18",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022073",
            "telephone_number": "814-812-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 W 23rd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165065802",
            "country_code": "US",
            "telephone_number": "814-459-2755",
            "fax_number": "814-456-4873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 Peninsula Dr",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165062954",
            "country_code": "US",
            "telephone_number": "814-812-5491 x81481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW0196514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Benjamin Wiley Community Charter School
• Robert Ricart OD and Associates
• Amanda Roberts, DPT
• Daniel J. Roberts, D.M.D.
• Elizabeth Eileen Roberts, OD
• Lashedia Deshea Roberts, LPN
• Lindsay Roberts
• Lori Roberts
• Tsamara Roberts, DO
• Melissa L Robertson, CRNP

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.