Kathleen Lois Roberts, LLMSW
NPI 1912692294ActiveIndividual· Social Worker, Clinical· Lake Orion, MI
Social Worker, Clinical (LLMSW) with Pure Psychiatry of Michigan PLLC, practicing in Lake Orion, Michigan. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1912692294 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLMSW |
| Sole proprietor | Yes |
| NPI issued | Apr 11, 2023 |
| Last updated in NPPES | Apr 11, 2023 |
| Certified by provider | Apr 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6851116284 | MI |
| Counselor, Mental Health | 101YM0800X | 6851116284 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Pure Psychiatry of Michigan PLLCFort Gratiot, MI · 107 clinicians
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All 29 clinical social workers in Lake Orion · All clinical social workers in Michigan