MS. MILDRED ELIZABETH ROBERTS (NPI# 1023165578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023165578 |
| Entity Type | Individual |
| Full Name | MS. MILDRED ELIZABETH ROBERTS |
| Credential | LCSW |
| Practice Address |
727 E Etna Rd Ottawa IL 61350-1040 |
| Mailing Address |
Po Box 1488 2960 Chartres Street La Salle IL 61301-3488 |
| Practice Telephone | 8154344727 |
| Practice Fax Number | 8154340271 |
| Mailing Telephone | 8152241610 |
| Mailing Fax Number | 8152231634 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
727 E ETNA RD |
| City | OTTAWA |
| State | IL |
| Zip Code | 61350-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003321290 | Kaitlyn Rinke | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2017-12-10 |
| 1124387485 | Kayla A Alderman | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2012-05-08 |
| 1750662508 | Diana Marie Carter | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2011-09-07 |
| 1073633418 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2007-03-30 |
| 1598815581 | Daniel E Veronda | Counselor | 727 E Etna Rd, Ottawa, IL 61350-1040 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306336359 | Yulandist Jeannie Brown | Licensed Practical Nurse | 617 Columbus St, Ottawa, IL 61350 | 2018-05-15 |
| 1881071272 | Ashlee Herbold | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1718 N 2525th Rd, Ottawa, IL 61350 | 2015-05-05 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1538550868 | Erin Rose Boe | Physical Therapist | 2872 Columbus St, Unit 300, Ottawa, IL 61350 | 2015-02-09 |
| 1346572757 | Rebecca Samolitis | Counselor | 116 W Lafayette St, Suite 8, Ottawa, IL 61350 | 2010-02-10 |
| 1235383266 | Timothy I Miller O.d. P.C. | Optometrist | 107 E. Mckinley Rd., Ottawa, IL 61350 | 2008-11-04 |
| 1427204676 | Leo John Meagher | Counselor | 218 West Madison St, Ottawa, IL 61350 | 2008-08-07 |
| 1598938755 | Radiation Oncology of Northern Illinois LLC | Radiology | 1200 Starfire Dr, Ottawa, IL 61350 | 2008-04-09 |
| 1154538510 | Serenityonwheels, Inc. | Counselor | Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 | 2007-05-16 |
| 1205040904 | Dixie Devry | Occupational Therapist | 2532 Reynolds Manor, Ottawa, IL 61350 | 2007-05-10 |
| Find all providers in zip 61350 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093175515 | Stephanie Marie Allegre | Social Worker | 1244 S Lincoln St, Ottawa, KS 66067-4201 | 2016-02-25 |
| 1053702365 | Wanda Rohl | Social Worker | 3735 E 1453 Rd, Ottawa, IL 61350 | 2015-02-09 |
| 1134568249 | Illinois Valley Counseling Services | Social Worker | 807 Lasalle St, Ottawa, IL 61350-9144 | 2013-06-21 |
| 1164703278 | Susan Koestler Lcsw, Inc. | Social Worker | 1410 Aquarius Cir Ste 2, Ottawa, IL 61350-9059 | 2011-09-01 |
| 1952616344 | Amy Davis | Social Worker | 1851 Columbus St, Ottawa, IL 61350-1528 | 2010-08-10 |
| 1841454766 | Dawn Heather Mccollom | Social Worker | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1381 | 2008-07-10 |
| 1467553214 | Nancy L Pauw | Social Worker | 2476 Reno Rd, Ottawa, KS 66067 | 2006-09-26 |
| 1336259654 | Sally M Crawford-fowler | Social Worker | 1246 S Cedar St, Ottawa, KS 66067-3513 | 2006-08-30 |
| 1245837459 | Rebecca Anne Ralston | Social Worker | 1100 E Norris Dr, Ottawa, IL 61350-1604 | 2020-10-01 |
| 1740769298 | Loni F Nolte | Social Worker | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2018-08-07 |
| Find all providers in OTTAWA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.