Individual provider Active NPI

Lashay S Roberts

  • Social Worker
  • Chicago, IL
National Provider Identifier
1902686306
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.111742 Issued in IL
Practice address
1233 W Adams St
Chicago, IL 60607-2801
Phone
(312) 243-8487
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.111742 IL Primary

Addresses

Primary practice location

1233 W Adams St
Chicago, IL 60607-2801

Mailing address

778 Inland Cir Apt 201
Naperville, IL 60563-0230
Phone (331) 251-4025

Other practice location 1

6440 Main St Ste 200
Woodridge, IL 60517-1284
Phone (630) 968-0792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.111742ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer E. Manfre, LTD CurrentSince Sep 29, 2024 Accepting new patients
Blue Bird Day LLC PastSince Jun 2, 2024 Accepting new patients

Locations

6440 Main St
Ste 200
Woodridge, IL 60517
Phone (630) 968-0792

Organizations & group practices 2

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": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1902686306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 INLAND CIR APT 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605630230",
            "telephone_number": "331-251-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072801",
            "telephone_number": "312-243-8487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Woodridge",
            "state": "IL",
            "postal_code": "605171284",
            "country_code": "US",
            "telephone_number": "630-968-0792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LASHAY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.111742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.