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SHIRELL ROEBACK LMSW
NPI 1801220215
Social Worker in Brooklyn, NY

Active since August 21, 2013PECOS Enrolled
593 VANDERBILT AVE, #132, BROOKLYN, NY 11238(347) 693-1351(347) 365-4350 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shirell Roeback Lmsw NPPES

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

SHIRELL ROEBACK LMSW (NPI 1801220215) is an individual social worker in Brooklyn, New York, licensed in New York (072489-1) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801220215
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHIRELL ROEBACKCredential: LMSW
Location Address593 VANDERBILT AVE, #132Brooklyn, NY 11238-3512
Mailing Address593 Vanderbilt Ave, #132Brooklyn, NY 11238-3512 · (347) 693-1351 · Fax (347) 365-4350
Phone(347) 693-1351
Fax(347) 365-4350
Sole ProprietorNo
Enumeration DateAugust 21, 2013
✔ NPI 1801220215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 072489-1
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
593 VANDERBILT AVE, Brooklyn, NY 11238
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Other Identifiers 1

Medicaid072489-1NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirell Roeback Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shirell Roeback reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.
4.9 mi
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

ROEBACK CONSULTING
Community/Behavioral Health
593 VANDERBILT AVE, 132#
BROOKLYN, NY 11238
Kings County (347) 693-1351

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 Shirell Roeback's NPI number?

The NPI number for Shirell Roeback is 1801220215. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Shirell Roeback located?

Shirell Roeback practices at 593 Vanderbilt Ave #132, Brooklyn, NY 11238. The listed phone number is (347) 693-1351.

What is Shirell Roeback's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Shirell Roeback enrolled in Medicare?

Yes. Shirell Roeback is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shirell Roeback's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirell Roeback reassigns Medicare benefits to Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY). 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 Shirell Roeback'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 Shirell Roeback was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.