Joseph Sumowo Roberts

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6043 Hudson Rd Ste 355
Woodbury, MN 55125-1017

Phone

(651) 434-9186

NPI assigned

Aug 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Victor Counseling and Consultant Services, LLC

  • Psychologist
  • Woodbury, MN
  • NPI 1073027587
  NPD
• Coxallah Enrichment Services, LLC

  • Psychologist
  • Woodbury, MN
  • NPI 1457825051
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1821643008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD STE 355",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251017",
            "telephone_number": "651-434-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD STE 355",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251017",
            "telephone_number": "651-434-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOSEPH",
        "middle_name": "SUMOWO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leone D Ritz, MD
• Fernando Rizo Jr., DC
• Deeann Lyn Robbins, RDH
• Mona Lee Robbins, L. AC.
• Claire L Roberts
• Kristen Michelle Roberts, DPM
• Heather Eileen Robinson, DDS
• Traci Diane Robinson, RPH
• Heather Lynne Rocheford, M.D.
• Sara Rock, ATC

• Social Worker in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.