KELVIN R ROBERTS LCSW
NPI 1407045776
Social Worker - Clinical in Quincy, IL
About Kelvin R Roberts Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELVIN R ROBERTS LCSW (NPI 1407045776) is an individual clinical provider in Quincy, Illinois and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelvin R Roberts Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelvin Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Quincy, IL 62301
- Reassigned Medicare billing, Illinois enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
QUINCY, IL 62301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelvin Roberts's NPI number?
The NPI number for Kelvin Roberts is 1407045776. It was assigned to this individual provider in the NPPES registry on October 23, 2007.
Where is Kelvin Roberts located?
Kelvin Roberts practices at 1707 N 12th St, Quincy, IL 62301. The listed phone number is (217) 222-9487.
What is Kelvin Roberts's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelvin Roberts enrolled in Medicare?
Yes. Kelvin Roberts is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelvin Roberts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Roberts reassigns Medicare benefits to Illinois Veterans Home At Quincy (Quincy, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelvin Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelvin Roberts was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelvin R Roberts, LCSW · NPI 1407045776
Clinical provider in Quincy, Illinois. Individual provider, active in the CMS NPPES registry since October 23, 2007.
## Identity
- **NPI:** 1407045776 (Entity type: Individual)
- **Enumerated:** October 23, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 1707 N 12TH ST, Quincy, IL 62301-1355
- **Phone:** (217) 222-9487 · **Fax:** (217) 222-8578
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Illinois Veterans Home At Quincy (NPI 1386708568, Quincy, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2008
---
Source: [NPI Profile](https://npiprofile.com/npi/1407045776) · Data from the CMS NPPES public registry.