Organization Active NPI

Robertson Services LLC

  • Clinical Social Worker
  • Ionia, MI
National Provider Identifier
1245694793
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086213 Issued in MI
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

Updated by the provider on Mar 26, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.