Individual provider Active NPI

Robert Paul Lindberg, MSW

  • Clinical Social Worker
  • Vancouver, WA
National Provider Identifier
1871668442
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60596082 Issued in WA
Practice address
417 SE 164TH Ave Ste 300
Vancouver, WA 98684-8944
Phone
(360) 896-6944
Fax
(360) 254-2894
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 36-123 WI
Clinical Social Worker 1041C0700X LW60596082 WA Primary

Addresses

Primary practice location

417 SE 164TH Ave Ste 300
Vancouver, WA 98684-8944

Mailing address

417 SE 164TH Ave Ste 300
Vancouver, WA 98684-8944
Phone (360) 896-6944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20191007003279 WA Practitioner - Clinical Social Worker 1456682343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2103 NE 129TH St
Suite 101
Vancouver, WA 98686-3270
Phone (360) 574-9303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60596082WAMDClinical Social Worker
36-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC CurrentSince Aug 11, 2025 Accepting new patients
Real Life Community Behavioral Health PLLC CurrentSince Feb 17, 2024 Accepting new patients
Western Psychological and Counseling Services LLC Clinical Past Accepting new patients

Locations

3606 Main St
Ste 205
Vancouver, WA 98663
Phone (360) 200-8670

19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190

2103 NE 129th St
Ste 101
Vancouver, WA 98686
Phone (360) 574-9303

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1871668442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SE 164TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848944",
            "telephone_number": "360-896-6944",
            "fax_number": "360-254-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SE 164TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848944",
            "telephone_number": "360-896-6944",
            "fax_number": "360-254-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "36-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60596082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.