Individual provider Active NPI

Yvette Robinson, LCSW

  • Clinical Social Worker
  • Lilburn, GA
National Provider Identifier
1003301276
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004262 Issued in GA
Practice address
5239 Ashley Dr SW
Lilburn, GA 30047-6638
Phone
(706) 406-3306
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW004262 GA Primary

Addresses

Primary practice location

5239 Ashley Dr SW
Lilburn, GA 30047-6638

Mailing address

5975 Parkway North Blvd Ste 300-D
Cumming, GA 30040-1226
Phone (404) 388-3909

Other practice location 1

3060 Royal Boulevard South
Suite 110
Alpharetta, GA 30022-1404
Phone (706) 406-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW004262GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Yvette R Robinson Clinical CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1003301276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 PARKWAY NORTH BLVD STE 300-D",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401226",
            "telephone_number": "404-388-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 ASHLEY DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476638",
            "telephone_number": "706-406-3306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3060 Royal Boulevard South",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300221404",
            "country_code": "US",
            "telephone_number": "706-406-3306",
            "fax_number": "678-712-1945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "YVETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.