Individual provider Active NPI

Roberta Murphy, MSW

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1902413206
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106487 Issued in MI
Practice address
42705 Grand River Ave Ste 201
Novi, MI 48375-1772
Phone
(734) 417-1996
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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 6801106487 MI Primary

Addresses

Primary practice location

42705 Grand River Ave Ste 201
Novi, MI 48375-1772

Mailing address

21575 Trent CT
Novi, MI 48375-4774
Phone (734) 417-1996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20211130002247 MI Practitioner - Clinical Social Worker 3577953868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42705 Grand River Ave
Suite 201
Novi, MI 48375-1772
Phone (248) 938-0422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106487MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roberta J Murphy LMSW PLLC Clinical CurrentSince May 14, 2024 Accepting new patients

Locations

37899 W 12 Mile Rd
Ste 250
Farmington Hills, MI 48331
Phone (248) 921-4614

42705 Grand River Ave
Ste 201
Novi, MI 48375
Phone (248) 329-3099

Organizations & group practices 1

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1902413206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21575 TRENT CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754774",
            "telephone_number": "734-417-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42705 GRAND RIVER AVE STE 201",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751772",
            "telephone_number": "734-417-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "ROBERTA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.