TINA M ROBERTSON LCAC, LSW
NPI 1861720872
Social Worker in Elkhart, IN

Q: What is Tina Robertson's NPI number?

The NPI number for Tina Robertson is 1861720872. It was assigned to this individual provider in the NPPES registry on December 2, 2009. The provider is also known as Tina M Diller Cadac 1.

Q: What is Tina Robertson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Robertson was last updated on April 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 02, 2009PECOS EnrolledAccepts Medicare Assignment

2600 OAKLAND AVE, ELKHART, IN 46517(574) 533-1234(574) 537-2652 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tina M Robertson Lcac, Lsw NPPES

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

TINA M ROBERTSON LCAC, LSW (NPI 1861720872) is an individual social worker in Elkhart, Indiana, licensed in Indiana (33006111A) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861720872

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTINA M ROBERTSONCredential: LCAC, LSW

Location Address2600 OAKLAND AVEElkhart, IN 46517-1533

Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234 · Fax (574) 537-2652

Phone(574) 533-1234

Fax(574) 537-2652

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 2, 2009

Last NPPES UpdateApril 6, 2012

✔ NPI 1861720872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in IN · 33006111A

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselorTaxonomy 101Y00000X · License 33006111A (IN)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2600 OAKLAND AVE, Elkhart, IN 46517

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Other Names 1

Former Name (1)Tina M Diller Cadac 1

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina M Robertson Lcac, Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648490912

PECOS Enrollment IDI20141008002176

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

STEVEN D BRIGHT LCSW

Social Worker (Clinical)