JOANNE ROBERTSON (MSW, LCSW) – Clinical Social Worker, NPI 1134717440

JOANNE ROBERTSON (MSW, LCSW) is a healthcare provider. based in Orange park, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. SW10391 (FL). The NPI Number for JOANNE ROBERTSON (MSW, LCSW) is 1134717440

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
JOANNE ROBERTSON (MSW, LCSW)
NPI
1134717440
Phone
(904) 652-6666
Address
1200 BEDROCK DR
Enumeration Date
4 January 2021
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4153603348
Graduation Year
1989 (37 years ago)
PAC ID
1759757891
Group Practice PAC ID
9234525098
Professional Enrollment ID
I20221014001673
Address ID
FL32211XXXXJAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,433 CLINICAL SOCIAL WORKER in FL

Provider Addresses for JOANNE ROBERTSON (MSW, LCSW)

  • 1200 BEDROCK DR

    ORANGE PARK, FL 320655234

    Phone: (904) 652-6666

    Type: Mailing

  • INSPIRE TO RISE, INC

    5927 OLD TIMUQUANA RD

    JACKSONVILLE, FL 32210

    Phone: (904) 652-6666

    Type: Location

  • 1536 N JEFFERSON ST

    JACKSONVILLE, FL 322096525

    Phone: (904) 652-6666

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221014001673IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32065)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234525098View full group profile
NameSpecialtyState
Mental Health CounselorFL
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorMN
Mental Health CounselorNE
Marriage And Family TherapistFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What is the registry number for JOANNE ROBERTSON (MSW, LCSW)?
The registry entry for JOANNE ROBERTSON (MSW, LCSW) shows NPI 1134717440.
Is JOANNE ROBERTSON (MSW, LCSW)'s NPI status active today?
Active status means JOANNE ROBERTSON (MSW, LCSW)'s NPI record is not deactivated in the public file.
What services align with JOANNE ROBERTSON (MSW, LCSW)'s listing?
JOANNE ROBERTSON (MSW, LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is JOANNE ROBERTSON (MSW, LCSW) tied to Orange Park, Florida?
If you are local to Orange Park, Florida, JOANNE ROBERTSON (MSW, LCSW) may be relevant to your search.
Can I export JOANNE ROBERTSON (MSW, LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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