Active NPI
Robertson Services LLC
- Clinical Social Worker
- Ionia, MI
National Provider Identifier
1245694793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801086213
- Legal business name
- ROBERTSON SERVICES LLC
- Practice address
- 441 Swartz CT
Ionia, MI 48846-2157 - Phone
- (616) 523-6537
- Fax
- (616) 523-6536
- NPI assigned
- Apr 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek Robertson, LMSW
- Title
- Owner
- Phone
- (616) 523-6537
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801086213 | MI | Primary |
Addresses
Primary practice location
441 Swartz CT
Ionia, MI 48846-2157
Mailing address
441 Swartz CT
Ionia, MI 48846-2157
Phone (616) 523-6537
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616716800000",
"number": "1245694793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 SWARTZ CT",
"city": "IONIA",
"state": "MI",
"postal_code": "488462157",
"telephone_number": "616-523-6537",
"fax_number": "616-523-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 SWARTZ CT",
"city": "IONIA",
"state": "MI",
"postal_code": "488462157",
"telephone_number": "616-523-6537",
"fax_number": "616-523-6536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTSON SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-11",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-523-6537",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ionia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.