Active NPI
Robyn Gothelf, LMSW, EDM
- Social Worker
- Westland, MI
National Provider Identifier
1013346295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801093190
- Practice address
- 35300 Nankin Blvd Ste 601
Westland, MI 48185-7222 - Phone
- (734) 261-1842
- NPI assigned
- Nov 7, 2013
- Last updated
- Dec 15, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801093190 | MI | Primary |
Addresses
Primary practice location
35300 Nankin Blvd Ste 601
Westland, MI 48185-7222
Mailing address
13348 Lasalle Blvd
Huntington Woods, MI 48070-1029
Phone (248) 677-1697
Other practice location 1
38807 Ann Arbor Rd Ste 9
Livonia, MI 48150-3896
Phone (734) 772-0148
Other names 1
- Ms. Robyn Gothelf
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 |
|---|---|---|---|
| 6801093190 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Pediatrics PC | Past | Accepting new patients | |
| Collaborative Health Center, PLLC | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eastman, Wozniak, Groebe Pediatrics P.C.
- Pediatrics Physician
- Birmingham, MI
- NPI 1043364680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1013346295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13348 LASALLE BLVD",
"city": "HUNTINGTON WOODS",
"state": "MI",
"postal_code": "480701029",
"telephone_number": "248-677-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35300 NANKIN BLVD STE 601",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481857222",
"telephone_number": "734-261-1842"
}
],
"practiceLocations": [
{
"address_1": "38807 Ann Arbor Rd Ste 9",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481503896",
"country_code": "US",
"telephone_number": "734-772-0148",
"fax_number": "734-943-6051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOTHELF",
"first_name": "ROBYN",
"name_prefix": "Ms.",
"credential": "LMSW, EDM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801093190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBYN",
"last_name": "GOTHELF",
"prefix": "MS.",
"credential": "LMSW, EDM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.