Individual provider Active NPI

Cory J Roppel, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1346726981
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005313A Issued in IN
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

Updated by the provider on Oct 14, 2022

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 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

IdentifierTypeStateIssuer
34005313AOtherININ LICENSE LCSW
1974OtherKYKY LCSW LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180820001423 IN Practitioner - Clinical Social Worker 7719236074 Practice locations: Evansville, IN
I20210302001769 KY Practitioner - Clinical Social Worker 7719236074 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
34005313AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc CurrentSince Feb 25, 2021 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.

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

Verify at the official NPI Registry.