Individual provider Active NPI

Robin Joyce Pannell, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1396163259
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004535A Issued in IN
Practice address
1030 E County Line Rd Ste C1
Indianapolis, IN 46227-2998
Phone
(317) 497-6290
NPI assigned
Mar 28, 2014
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 34004535A IN Primary

Addresses

Primary practice location

1030 E County Line Rd Ste C1
Indianapolis, IN 46227-2998

Mailing address

1750 Sandhill Rd
Indianapolis, IN 46217-4655
Phone (317) 370-2204

Other practice location 1

1750 Sandhill Rd
Indianapolis, IN 46217-4655
Phone (317) 370-2204

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RPANNELL290702@ECOMMUNITYDIRECT.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150708002193 IN Practitioner - Clinical Social Worker 7012229735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Indiana Medical College, School of Medicine of Purdue University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

859 Riverside Dr
Suite 11
Greenwood, IN 46142-4147

PO Box
Suite 588
Westfield, IN 46074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Connections Counseling LLC Clinical CurrentSince Apr 1, 2021 Accepting new patients
Myerssquared, LLC Clinical PastSince Apr 1, 2021 Accepting new patients
Community Health Network, Inc Past Accepting new patients

Locations

859 Riverside Dr
Ste 11
Greenwood, IN 46142
Phone (317) 360-0650

Interoperability endpoints

  • Direct secure messaging: rpannell290702@ecommunitydirect.com

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1396163259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 SANDHILL RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462174655",
            "telephone_number": "317-370-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E COUNTY LINE RD STE C1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272998",
            "telephone_number": "317-497-6290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Sandhill Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462174655",
            "country_code": "US",
            "telephone_number": "317-370-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "ROBIN",
        "middle_name": "JOYCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004535A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RPANNELL290702@ECOMMUNITYDIRECT.COM",
            "affiliation": "N",
            "address_1": "1030 E County Line Rd Ste C1",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462272998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.