JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) – Clinical Social Worker, NPI 1770569907

JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) is a healthcare provider. based in Austin, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials M.S.W. L.I.C.S.W. They hold a License No. 17219 (MN). The NPI Number for JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) is 1770569907

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W)
NPI
1770569907
Phone
(507) 434-1092
Address
1000 1ST DR NW
Enumeration Date
20 December 2005
Last Update Date
28 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5074337351
Graduation Year
2002 (24 years ago)
PAC ID
2567416670
Group Practice PAC ID
4385556703
Professional Enrollment ID
I20050310000609
Address ID
MN559122941AU1000XNWXX400
Telehealth
Yes

Contacts

Secure Messaging
jbobby88756@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W)

  • Austin Medical Center, 1000, 1st Drive Northwest, Austin, Mower County, Minnesota, 55912, United States

    AUSTIN, MN 559122941

    Phone: (507) 434-1092

    Fax: (507) 434-1477

    Mailing address matches the actual address.

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: 2005-03-10

PECOS data refreshed: 2026-05-27

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
I20050310000609IClinical Social WorkerMNTBD

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 55912)

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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: 4385556703View full group profile

Reviews

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Frequently asked questions

Does JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) uses 1770569907.
Is JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) still practicing?
JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) is currently listed as active in the public NPI registry.
What healthcare role does JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) hold?
Scheduling teams often label JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) serve?
JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W)'s listing highlights Austin, Minnesota; more addresses can appear in NPPES.
Is the information about JOEL ANTHONY BOBBY (M.S.W. L.I.C.S.W) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."