Individual provider Active NPI

Laveta Roberson, LCSW

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1780316299
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801112425 Issued in MI
Practice address
603 Cliff St
Battle Creek, MI 49014-6412
Phone
(269) 419-2417
NPI assigned
Jun 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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 6801112425 MI Primary

Addresses

Primary practice location

603 Cliff St
Battle Creek, MI 49014-6412

Mailing address

603 Cliff St
Battle Creek, MI 49014-6412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220823001721 MA Practitioner - Clinical Social Worker 0648653725 Reassigns benefits to 1 organization
I20241203003315 MI Practitioner - Clinical Social Worker 0648653725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

7300 Dixie Hwy
Suite 1000
Clarkston, MI 48346-5105
Phone (248) 922-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Oct 14, 2024 Accepting new patients
Community Healthlink, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Community Healthlink Inc CurrentSince Aug 15, 2022 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Oct 14, 2024 Accepting new patients

Locations

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

12 Queen St
Worcester, MA 01610
Phone (508) 860-1242

7300 Dixie Hwy
Ste 1000
Clarkston, MI 48346
Phone (248) 394-3739

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

Organizations & group practices 4

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1780316299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 CLIFF ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490146412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CLIFF ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490146412",
            "telephone_number": "269-419-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "LAVETA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.