Individual provider Active NPI

Mary Leslie Robinson, L.C.S.W.

  • Clinical Social Worker
  • Gainesville, FL
National Provider Identifier
1023378007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13394 Issued in FL
Practice address
4140 NW 27TH LN Ste B
Gainesville, FL 32606-6600
Phone
(352) 256-0692
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 SW13394 FL Primary

Addresses

Primary practice location

4140 NW 27TH LN Ste B
Gainesville, FL 32606-6600

Mailing address

406 NE 6TH St Apt 5
Gainesville, FL 32601-5577
Phone (352) 256-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180223000045 FL Practitioner - Clinical Social Worker 2264793801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Florida Assessment and Counseling IncGroup PAC ID 8426235953, 3 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32219
Phone (352) 494-6857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW13394FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Assessment and Counseling Inc Clinical CurrentSince Nov 29, 2017 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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023378007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 NE 6TH ST APT 5",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015577",
            "telephone_number": "352-256-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 NW 27TH LN STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066600",
            "telephone_number": "352-256-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARY",
        "middle_name": "LESLIE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.