Rebecca Jo Roy, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34006219A Issued in IN

Practice address

701 N Englewood Dr
Crawfordsville, IN 47933-9744

Phone

(765) 361-9767

Fax

(765) 361-0374

NPI assigned

Aug 12, 2009

Last updated

Dec 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1932331774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 VINEYARDS CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479053806",
            "telephone_number": "765-418-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N ENGLEWOOD DR",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479339744",
            "telephone_number": "765-361-9767",
            "fax_number": "765-361-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "REBECCA",
        "middle_name": "JO",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006219A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Adair Roberts Beach, LCMHC, MA
• John R Roberts Jr., MD
• Joseph Kevin Roberts, L.M.F.T.
• Jacy D Robling, D.D.S.
• Stephanie Dianne Rose, PH.D.
• Steven K Ruff, DDS
• Teresa Ruiz, MD
• Madelynne Grace Runyon, MSAT, LAT, ATC
• Larry J Russell, DC
• Ryan J Russell, DC

• Clinical Social Worker in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.