Individual provider Active NPI

Jessica Eloise Robb, LMSW

  • Clinical Social Worker
  • Portage, MI
National Provider Identifier
1316284805
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090458 Issued in MI
Practice address
8080 Moorsbridge Rd Ste 102
Portage, MI 49024-4422
Phone
(269) 371-5970
NPI assigned
Jan 3, 2013
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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 6801090458 MI Primary

Addresses

Primary practice location

8080 Moorsbridge Rd Ste 102
Portage, MI 49024-4422

Mailing address

7311 Sandpiper St
Portage, MI 49024-7404
Phone (269) 366-8006

Other practice location 1

2001 Hudson Ave
Kalamazoo, MI 49008-1889
Phone (269) 371-5970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Integrated Therapies CurrentSince Jun 4, 2023 Accepting new patients
Michigan Integrated Therapies CurrentSince Dec 17, 2023 Accepting new patients
Jessica Robb, LMSW, PLLC Clinical CurrentSince Jun 4, 2023 Accepting new patients

Locations

2001 Hudson Ave
Kalamazoo, MI 49008
Phone (269) 341-9725

2001 Hudson Ave
Ste D
Kalamazoo, MI 49008
Phone (269) 371-5970

8080 Moorsbridge Rd
Ste 102
Portage, MI 49024
Phone (269) 264-8020

Organizations & group practices 3

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": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1316284805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 SANDPIPER ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247404",
            "telephone_number": "269-366-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 MOORSBRIDGE RD STE 102",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244422",
            "telephone_number": "269-371-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Hudson Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081889",
            "country_code": "US",
            "telephone_number": "269-371-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBB",
        "first_name": "JESSICA",
        "middle_name": "ELOISE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.