Daylen Cecil Roberts, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107044 Issued in CA

Practice address

14715 E. Highway 20
Clearlake Oaks, CA 95458

Phone

(707) 989-1800

Fax

(707) 998-0122

NPI assigned

Sep 30, 2013

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hilltop Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Clearlake Oaks, CA
  • NPI 1578866323
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1699102004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "LUCERNE",
            "state": "CA",
            "postal_code": "954580316",
            "telephone_number": "707-274-5610",
            "fax_number": "707-006-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 E. HIGHWAY 20",
            "city": "CLEARLAKE OAKS",
            "state": "CA",
            "postal_code": "95458",
            "telephone_number": "707-989-1800",
            "fax_number": "707-998-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "DAYLEN",
        "middle_name": "CECIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CSCR1003301852",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CCDS-R1003301852",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW87243",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Orri
• Aura Palma
• Patrick Steven Pearmain
• Potential Way
• Benjamin Chet Revis
• Rikki Irie Ruiz
• Patricia V Santacruz
• John Phillip Sheridan
• Darcy Towner Skarada, M.F.T.
• Sean Sullivan

• Clinical Social Worker in Clearlake Oaks, CA
• Providers in Clearlake Oaks, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.