Individual provider Active NPI

Robert C Rockey, LCSW

  • Clinical Social Worker
  • West Allis, WI
National Provider Identifier
1407069826
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1882-123 Issued in WI
Practice address
2363 S. 102ND Street
Suite#203
West Allis, WI 53227
Phone
(414) 545-1950
Fax
(262) 375-1071
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1882-123 WI Primary

Addresses

Primary practice location

2363 S. 102ND Street
Suite#203
West Allis, WI 53227

Mailing address

W62 N248 Washington Avenue
Suite #207
Cedarburg, WI 53012
Phone (262) 375-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20090528000531 WI Practitioner - Clinical Social Worker 5799834438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Clinic and ConsultantsGroup PAC ID 9335664549, 2 clinicians

Practice addresses (Care Compare)

1407 N 8TH St
Suite 203
Sheboygan, WI 53081-3400
Phone (920) 415-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1882-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Clinic and Consultants CurrentSince Apr 1, 2025 Accepting new patients

Locations

1407 N 8th St
Ste 203
Sheboygan, WI 53081
Phone (920) 415-0505

Organizations & group practices 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407069826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W62 N248 WASHINGTON AVENUE",
            "address_2": "SUITE #207",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "53012",
            "telephone_number": "262-375-1116",
            "fax_number": "262-375-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 S. 102ND STREET",
            "address_2": "SUITE#203",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "53227",
            "telephone_number": "414-545-1950",
            "fax_number": "262-375-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKEY",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1882-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

Verify at the official NPI Registry.