Active NPI
Cory J Roppel, LCSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1346726981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005313A
- Practice address
- 2015 Maxwell Ave
Evansville, IN 47711-4359 - Phone
- (812) 306-7351
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005313A | IN | Primary |
Addresses
Primary practice location
2015 Maxwell Ave
Evansville, IN 47711-4359
Mailing address
2015 Maxwell Ave
Evansville, IN 47711-4359
Phone (812) 306-7351
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34005313A | Other | IN | IN LICENSE LCSW |
| 1974 | Other | KY | KY LCSW LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2015 Maxwell Ave
Evansville, IN 47711-4359
Phone (812) 422-7974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34005313A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Current | Accepting new patients |
Locations
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
340 Starlite Dr
Henderson, KY 42420
Phone (270) 212-3070
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Deaconess Pulmonary New Hartford
- Pulmonary Disease Physician
- Owensboro, KY
- NPI 1841822327
-
dba Deaconess Anesthesia Service
- Anesthesiology Physician
- Evansville, IN
- NPI 1629162573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1346726981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 MAXWELL AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477114359",
"telephone_number": "812-306-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 MAXWELL AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477114359",
"telephone_number": "812-306-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROPPEL",
"first_name": "CORY",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-17",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005313A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN LICENSE LCSW",
"identifier": "34005313A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY LCSW LICENSE",
"identifier": "1974",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.