MEDICARE: CASEY N ROBERTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1558218271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASEY N ROBERTS

Provider Business Mailing Address
First Line	:	9441 YORK WOODS DR
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-9041
Country	:	US
Telephone Number	:	310-592-9788
Fax Number	:

Provider Business Practice Location Address
First Line	:	31560 SCHOOLCRAFT RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1805
Country	:	US
Telephone Number	:	310-592-9788
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CASEY N ROBERT
Credential	:	LMSW
Telephone Number	:	310-592-9788

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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