Individual provider Active NPI

Robbillie Stevenson

  • Clinical Social Worker
  • Decatur, IN
National Provider Identifier
1154971919
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010444A Issued in IN
Practice address
809 High St
Decatur, IN 46733-2324
Phone
(260) 724-9669
Fax
(260) 724-4872
NPI assigned
Sep 13, 2019
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 34010444A IN Primary

Addresses

Primary practice location

809 High St
Decatur, IN 46733-2324

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

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
I20230606002936 IN Practitioner - Clinical Social Worker 1052778016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

410 Pilgrim Blvd
Suite 100
Hartford City, IN 47348-1382
Phone (765) 668-6713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010444AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince May 18, 2023 Accepting new patients
Grant-Blackford Mental Health, Inc. CurrentSince Sep 24, 2024 Accepting new patients
Grant-Blackford Mental Health, Inc. CurrentSince Sep 24, 2024 Accepting new patients
Bowen Health Inc CurrentSince May 18, 2023 Accepting new patients

Locations

410 Pilgrim Blvd
Ste 100
Hartford City, IN 47348
Phone (765) 348-1303

410 Pilgrim Blvd
Ste 1000
Hartford City, IN 47348

101 S Washington St
Marion, IN 46952
Phone (765) 662-9971

116 E 32nd St
Marion, IN 46953
Phone (765) 662-2039

3010 S Adams St
Marion, IN 46953
Phone (765) 662-3971

505 N Wabash Ave
Marion, IN 46952
Phone (765) 662-3971

255 N Miami St
Wabash, IN 46992
Phone (260) 563-8446

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

Organizations & group practices 4

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": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1154971919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 HIGH ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467332324",
            "telephone_number": "260-724-9669",
            "fax_number": "260-724-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ROBBILLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010444A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IN

Sources for this page

Verify at the official NPI Registry.