RODERICK ROSEBERRY SST
NPI 1295163194
Case Manager/Care Coordinator in Detroit, MI

Q: What is Roderick Roseberry's NPI number?

The NPI number for Roderick Roseberry is 1295163194. It was assigned to this individual provider in the NPPES registry on October 31, 2013.

Q: What is Roderick Roseberry's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Active since October 31, 2013

2925 RUSSELL ST, DETROIT, MI 48207(313) 396-5300 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roderick Roseberry Sst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODERICK ROSEBERRY SST (NPI 1295163194) is an individual case manager/care coordinator provider in Detroit, Michigan, licensed in Michigan (L2551193) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1295163194

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameRODERICK ROSEBERRYCredential: SST

Location Address2925 RUSSELL STDetroit, MI 48207-4825

Mailing Address19015 Biscayne AveEastpointe, MI 48021-2012

Phone(313) 396-5300

Sole ProprietorYes

Enumeration DateOctober 31, 2013

✔ NPI 1295163194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in MI · L2551193

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2925 RUSSELL ST, Detroit, MI 48207

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCIA M WICKER RN

Registered Nurse