Individual provider Active NPI

Mindi L Robinson, LCSW

  • Clinical Social Worker
  • Bedford, IN
National Provider Identifier
1144229675
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
340004943A Issued in IN
Practice address
2325 Q St
Bedford, IN 47421-4718
Phone
(812) 279-4673
Fax
(812) 279-4672
NPI assigned
Jul 18, 2005
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 340004943A IN Primary

Addresses

Primary practice location

2325 Q St
Bedford, IN 47421-4718

Mailing address

2325 Q St
Bedford, IN 47421-4718
Phone (812) 279-4673

Other identifiers 1

IdentifierTypeStateIssuer
000000362287OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000902 IN Practitioner - Clinical Social Worker 1658328133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Indiana Medical College, School of Medicine of Purdue University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone City Counseling IncGroup PAC ID 4880751304, 2 clinicians

Practice addresses (Care Compare)

2325 Q St
Bedford, IN 47421-4718
Phone (812) 279-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340004943AINMDClinical Social Worker

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1144229675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 Q ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214718",
            "telephone_number": "812-279-4673",
            "fax_number": "812-279-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 Q ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214718",
            "telephone_number": "812-279-4673",
            "fax_number": "812-279-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MINDI",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "340004943A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000362287",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.