Individual provider Active NPI

Hillary Robertson

  • Clinical Social Worker
  • Muncie, IN
National Provider Identifier
1831767292
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010632A Issued in IN
Practice address
3645 N Briarwood LN Ste a
Muncie, IN 47304-5337
Phone
(765) 289-5520
Fax
(765) 289-5840
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33010417A IN
Clinical Social Worker 1041C0700X 34010632A IN Primary

Addresses

Primary practice location

3645 N Briarwood LN Ste a
Muncie, IN 47304-5337

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Other practice location 1

2010 Brentwood Dr
Anderson, IN 46011-4042
Phone (765) 393-0063

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
I20230906001013 IN Practitioner - Clinical Social Worker 4385007558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33010417AINMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tyrow Consulting LLC CurrentSince Oct 23, 2023 Accepting new patients

Locations

3645 N Briarwood Ln
Ste A
Muncie, IN 47304
Phone (765) 289-5520

Interoperability endpoints

  • Direct secure messaging: hillary.robertson.p1@direct.meridianhs.nextgenshare.com

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1831767292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 N BRIARWOOD LN STE A",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045337",
            "telephone_number": "765-289-5520",
            "fax_number": "765-289-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Brentwood Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460114042",
            "country_code": "US",
            "telephone_number": "765-393-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "HILLARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010417A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010632A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.