Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shirell Roeback, LMSW

Individual provider Social Worker · NPI 1801220215

Shirell Roeback, LMSW is a Clinical Social Worker in Brooklyn, New York. Graduated from Fordham University School of Medicine in 2001, 25 years ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2013
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

593 Vanderbilt Ave #132
Brooklyn, NY 11238-3512
Phone: (347) 693-1351
Fax: (347) 365-4350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 072489-1 (NY)

Record details

NPI number1801220215
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESAugust 21, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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