Active NPI
Robin Nicole Clay, LGSW
- Clinical Social Worker
- Aberdeen, MD
National Provider Identifier
1003036542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- G11786
- Practice address
- 135 N Parke St
Aberdeen, MD 21001-2428 - Phone
- (443) 625-1600
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | G11786 | MD | Primary |
Addresses
Primary practice location
135 N Parke St
Aberdeen, MD 21001-2428
Mailing address
6073 Majors LN
Apt. 3
Columbia, MD 21045-4146
Phone (443) 710-2151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G11786 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003036542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6073 MAJORS LN",
"address_2": "APT. 3",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454146",
"telephone_number": "443-710-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N PARKE ST",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012428",
"telephone_number": "443-625-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "ROBIN",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "G11786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.