GARDENS AT ROUNDTABLE
NPI 1053853168
Social Worker - Clinical in Lafayette, IN

Q: What is Gardens At Roundtable's NPI number?

The NPI number for Gardens At Roundtable is 1053853168. It was assigned to this organization in the NPPES registry on November 7, 2016.

Q: What is Gardens At Roundtable's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since November 07, 2016

904 SOUTH ST, LAFAYETTE, IN 47901(765) 630-7222(765) 807-3210 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gardens At Roundtable NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDENS AT ROUNDTABLE (NPI 1053853168) is a healthcare organization registered as a clinical in Lafayette, Indiana and active in the NPI registry since November 2016. The organization lists Renee Michelle Tilt, Owner & Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1053853168

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameGARDENS AT ROUNDTABLE

Location Address904 SOUTH STLafayette, IN 47901-1416

Mailing Address904 South StLafayette, IN 47901-1416 · (765) 630-7222 · Fax (765) 807-3210

Phone(765) 630-7222

Fax(765) 807-3210

Organization SubpartNo

Authorized OfficialRenee Michelle TiltOwner & Registered Dietitian · (765) 630-7222

Enumeration DateNovember 7, 2016

Last NPPES UpdateNovember 8, 2016

✔ NPI 1053853168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

904 SOUTH ST, Lafayette, IN 47901

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROUNDTABLE WELLNESS

Counselor (Mental Health)