Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thomas Edward Robertshaw, SSW

Individual provider Social Worker · NPI 1619110053

Mr. Thomas Edward Robertshaw, SSW is a Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2009.

Licensed in
UT
In the registry since
2009
Specialties on file
3

Practice location Address checks out

750 N 200 W
Provo, UT 84601-1677
Phone: (801) 373-4760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 137653-3503 (UT)
Social Worker Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence SSW137653-3503 (UT)

Record details

NPI number1619110053
Entity typeIndividual (Type 1)
GenderMale
Credentials SSW
Sole proprietorNo
NPI enumeratedApril 15, 2009
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023

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