Jerilyn Jean Roebling | Allegan, MI • PECOS Search

Jerilyn Jean Roebling

Social Worker

Behavioral Health & Social Service Providers

3285 122nd Ave, Allegan, MI 49010-9511

(800) 795-6617 (269) 674-3186

PECOS Enrollment

Based on the most recent information from CMS, provider Jerilyn Jean Roebling does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1427294636
Provider Type
Individual
Full Name
Roebling, Jerilyn Jean
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/18/2008
Last Updated
12/18/2008

Contact Information

Practice Location

3285 122nd Ave, Allegan, MI 49010-9511

Unlisted Fax

Mailing Location

49463 Red Arrow Hwy, Lawrence, MI 49064-8706

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801016292 Michigan