Kaderrick W Robinson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104464 Issued in MI

Practice address

2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328

Phone

(810) 494-7180

Fax

(810) 215-1334

NPI assigned

May 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1699332007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35755 N GRANDVIEW CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352414",
            "telephone_number": "313-575-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GENOA BUSINESS PARK DR STE 100",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481145328",
            "telephone_number": "810-494-7180",
            "fax_number": "810-215-1334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 E West Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Walled Lake",
            "state": "MI",
            "postal_code": "483903571",
            "country_code": "US",
            "telephone_number": "248-313-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KADERRICK",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6801104464",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ann Roberts
• Havoc Kane Roberts
• Nicole M Robertson, MT
• Lilia Kate Robins, TLLP
• Cathy Christine Robinson, FNP-BC
• Ira T Robles, MD
• Rachel Rodeheffer, MOT, OTR/L
• James Rogers Jr., LPC
• Giuliano Romano, MD
• Zachary Rombyer

• Clinical Social Worker in Brighton, MI
• Providers in Brighton, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.