Active NPI
Robert Patrick Galvin
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1013274992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 070979
- Practice address
- 57 Prospect Park SW
Apt 4a
Brooklyn, NY 11215-5968 - Phone
- (917) 617-8743
- NPI assigned
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 070979 | NY | Primary |
Addresses
Primary practice location
57 Prospect Park SW
Apt 4a
Brooklyn, NY 11215-5968
Mailing address
57 Prospect Park SW
Apt 4a
Brooklyn, NY 11215-5968
Phone (917) 617-8743
Other names 1
- Robert Galvin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070979 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Networks
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
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": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700956800000",
"number": "1013274992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 PROSPECT PARK SW",
"address_2": "APT 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155968",
"telephone_number": "917-617-8743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 PROSPECT PARK SW",
"address_2": "APT 4A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155968",
"telephone_number": "917-617-8743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVIN",
"first_name": "ROBERT",
"middle_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2023-11-26",
"certification_date": "2023-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "070979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "GALVIN",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.