Jolene T Robertson, LCSW
Individual provider Active NPI Clinical Social Worker · W Lafayette, IN
NPI 1295064046 · NPPES record last updated Dec 8, 2009
Key facts
- NPI
- 1295064046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34003762A (IN)
- Practice address
- 2900 N River Rd
W Lafayette, IN 47906-3744 - Phone
- (765) 463-2555
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34003762A | IN | Yes |
Addresses
Primary practice location
2900 N River Rd
W Lafayette, IN 47906-3744
Mailing address
1626 Stanforth Ave
Lafayette, IN 47905-1962
Other providers in W Lafayette, IN
- Kelsie Neal
- Sarah Panicacci
- Pauline Porett
- Brian Primeau
- Emily Qualkenbush
- Lacie Sanderson
- Briana Shockley
- Shelby Sims
- John Houston Spear
- Speech Pathways, LLC
All providers in W Lafayette, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.