Individual provider Active NPI

Demetria Nochelle Jimerson-Roberts, LSW

  • Clinical Social Worker
  • Carmel, IN
National Provider Identifier
1770487266
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1111 W Main St Apt 322
Carmel, IN 46032-1589
Phone
(317) 526-0554
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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 IN Primary

Addresses

Primary practice location

1111 W Main St Apt 322
Carmel, IN 46032-1589

Mailing address

1111 W Main St Apt 322
Carmel, IN 46032-1589
Phone (317) 526-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1770487266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W MAIN ST APT 322",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321589",
            "telephone_number": "317-526-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MAIN ST APT 322",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321589",
            "telephone_number": "317-526-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMERSON-ROBERTS",
        "first_name": "DEMETRIA",
        "middle_name": "NOCHELLE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.