Individual provider Active NPI

Sherry Robida, LLBSW

  • Clinical Social Worker
  • Roseville, MI
National Provider Identifier
1760170369
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6852088113 Issued in MI
Practice address
27085 Gratiot Ave Ste 107
Roseville, MI 48066-2984
Phone
(586) 285-5361
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6852088113 MI Primary

Addresses

Primary practice location

27085 Gratiot Ave Ste 107
Roseville, MI 48066-2984

Mailing address

2048 Riverview Dr
Saint Clair, MI 48079-5503
Phone (810) 305-0019

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6852088113MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psygenics Inc Clinical CurrentSince Feb 12, 2024 Accepting new patients

Locations

27085 Gratiot Ave
Ste 107
Roseville, MI 48066
Phone (586) 285-5361

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1760170369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 RIVERVIEW DR",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795503",
            "telephone_number": "810-305-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27085 GRATIOT AVE STE 107",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662984",
            "telephone_number": "586-285-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBIDA",
        "first_name": "SHERRY",
        "credential": "LLBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6852088113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.