Andrea Renee Robinson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

99118073A Issued in IN

Practice address

5920 Decatur Rd
Fort Wayne, IN 46816-3640

Phone

(260) 424-4908

NPI assigned

Jun 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Renee Gard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ywca Northeast Indiana Inc

  • Substance Abuse Rehabilitation Facility
  • Fort Wayne, IN
  • NPI 1629533658
  NPD (past)

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1003593138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 DEXTER DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468164054",
            "telephone_number": "260-415-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 DECATUR RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468163640",
            "telephone_number": "260-424-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99118073A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GARD",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randolph Harlen Robertson, MD
• Roy W Robertson, MD
• Laurette C Robey, MD
• Amanda Robinett, PT, DPT
• Summer Robinette
• Beth Robinson, MA
• Billy Joe Robinson
• Dayla Ryan Robinson
• Demarco Robinson
• Detrick Robinson

• Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.