Robin H Celkupa, PHD, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

529-LCSW Issued in MT

Practice address

690 N Meridian Rd Ste 205
Kalispell, MT 59901-3508

Phone

(406) 471-3106

Fax

(406) 257-6173

NPI assigned

Sep 15, 2011

Last updated

Dec 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siskiyou Community Health Center IncGroup PAC ID 6305747288, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Siskiyou Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Grants Pass, OR
  • NPI 1427046903
  Medicare reassignment Care Compare group NPD
• Siskiyou Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cave Junction, OR
  • NPI 1669638417
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387584000000",
    "number": "1477835478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 MONTFORD RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017839",
            "telephone_number": "406-471-3106",
            "fax_number": "406-257-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD STE 205",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013508",
            "telephone_number": "406-471-3106",
            "fax_number": "406-257-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELKUPA",
        "first_name": "ROBIN",
        "middle_name": "H",
        "credential": "PHD, MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2013-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "529-LCSW",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 00009347",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LCSW 991800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L6001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A. Catlett, CRC
• Chad Cattron, D.D.S.
• Hanna Cattron, PHARMD
• Joshua Natan Caya, D.C.
• Cayuse Prairie School District #10
• Taylor Chadwick, DPT
• Nicholas S Chamberlain, OD
• Tyler Ka-Hei Chan, D.C.
• Autumn Rishel Chapman, DDS
• Heidi C Chapnick, D.C.

• Clinical Social Worker in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2013; 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.

Verify at the official NPI Registry.