Individual provider Active NPI

Josh Robertson, LCSW

  • Clinical Social Worker
  • Valparaiso, IN
National Provider Identifier
1497308035
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34008341A Issued in IN
Practice address
908 Eastbrooke Dr
Valparaiso, IN 46383-4322
Phone
(219) 771-1209
NPI assigned
Jul 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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 34008341A IN Primary

Addresses

Primary practice location

908 Eastbrooke Dr
Valparaiso, IN 46383-4322

Mailing address

908 Eastbrooke Dr
Valparaiso, IN 46383-4322
Phone (219) 771-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • 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
I20210310001680 IN Practitioner - Clinical Social Worker 3274949607 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34008341AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc CurrentSince Feb 9, 2021 Accepting new patients
Wells Family Counseling LLC CurrentSince Aug 8, 2023 Accepting new patients
Healthlinc, Inc. CurrentSince Feb 9, 2021 Accepting new patients

Locations

150 Lincolnway
Ste 2003
Valparaiso, IN 46383
Phone (219) 554-8855

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

150 Lincolnway
Valparaiso, IN 46383

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1497308035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 EASTBROOKE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834322",
            "telephone_number": "219-771-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 EASTBROOKE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834322",
            "telephone_number": "219-771-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JOSH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008341A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.