Kenya Roberson, APSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

130997-121 Issued in WI

Practice address

5600 W Brown Deer Rd Ste 106
Brown Deer, WI 53223-2346

Phone

(414) 446-8154

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• American Relaxation Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brown Deer, WI
  • NPI 1912566464
  NPD (past)

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1790402501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 N 44TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W BROWN DEER RD STE 106",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232346",
            "telephone_number": "414-446-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "KENYA",
        "credential": "APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "130997-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew M Richlen, MD
• Nicole M. Rintelman, MSN, PMHNP-BC
• Gladys Rivera, RN
• RN Private Care LLC
• Anthony Roach, PC-IT, SW
• Breanna Robinson
• Markena Robinson
• Robynn's Gifted Hands of Love LLC
• Pedro Rojo Segura, RDH
• Bess M Romagna, D.C.

• Social Worker in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.