Healthcare Provider Details

I. General information

NPI: 1841636099
Provider Name (Legal Business Name): BARBARA LYNN ROBERTS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 GREENFIELD RD STE 109
DEARBORN MI
48120-1802
US

IV. Provider business mailing address

820 GLENULLINE DR
CANTON MI
48187-3817
US

V. Phone/Fax

Practice location:
  • Phone: 517-492-0517
  • Fax: 517-882-3633
Mailing address:
  • Phone: 734-981-3314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801095700
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: