Shirell Roeback, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

072489-1 Issued in NY

Practice address

593 Vanderbilt Ave
#132
Brooklyn, NY 11238-3512

Phone

(347) 693-1351

Fax

(347) 365-4350

NPI assigned

Aug 21, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interborough Developmental and Consultation Center IncGroup PAC ID 7911898192, 167 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Interborough Developmental and Consultation Center, Inc.

  • Case Management Agency
  • Brooklyn, NY
  • NPI 1588611842

  Social Worker

  Medicare reassignment Care Compare group NPD
• Roeback Consulting

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1518307867
  NPD (past) Authorized official
• Interborough Developmental and Consultation Center, Inc.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1912867433
  NPD

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1801220215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 VANDERBILT AVE",
            "address_2": "#132",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383512",
            "telephone_number": "347-693-1351",
            "fax_number": "347-365-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 VANDERBILT AVE",
            "address_2": "#132",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383512",
            "telephone_number": "347-693-1351",
            "fax_number": "347-365-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBACK",
        "first_name": "SHIRELL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072489-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072489-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Roe, M.S. CCC-SLP
• Christina Louise Roe, LMSW
• Ju K Roe, D.D.S.
• Valerie Ann Roe, CNM, LM
• Roeback Consulting
• Rachael Jean Roeder, AUDIOLOGIST
• Alison Leslie Roehs, LAC, LMT
• Anna Roesler, MD
• Benjamin Rofeh
• Emily Roff, M.S., CCC-SLP

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.