Robin H Celkupa, PHD, MSSW

Key facts

NPI

1477835478

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

529-LCSW (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

Sex

Female

Sole proprietor

Yes

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.

• Siskiyou Community Health Center, Inc Federally Qualified Health Center (FQHC) · Grants Pass, OR · NPI 1427046903
  Medicare reassignment Care Compare group NPD OR
• Siskiyou Community Health Center, Inc. Federally Qualified Health Center (FQHC) · Cave Junction, OR · NPI 1669638417
  Care Compare group NPD

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siskiyou Community Health Center Inc (30 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 21, 2013.

{
    "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": []
}

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• Hanna Cattron, PHARMD
• Joshua Natan Caya, D.C.
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• Taylor Chadwick, DPT
• Nicholas S Chamberlain, OD
• Tyler Ka-Hei Chan, D.C.
• Autumn Rishel Chapman, DDS
• Heidi C Chapnick, D.C.

All providers in Kalispell, MT · Clinical Social Worker in Montana