Individual provider Active NPI

Robert L Horn, LCSW

  • Clinical Social Worker
  • Stamford, CT
National Provider Identifier
1033922125
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
014799 Issued in CT
Practice address
125 Main St
Stamford, CT 06901-2818
Phone
(203) 391-7906
NPI assigned
Jan 31, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 014799 CT Primary

Addresses

Primary practice location

125 Main St
Stamford, CT 06901-2818

Mailing address

125 Main St
Stamford, CT 06901-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321002334 CT Practitioner - Clinical Social Worker 7012439748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014799CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liberation Programs Inc CurrentSince Jan 10, 2025 Accepting new patients
Liberation Programs Inc CurrentSince Jan 10, 2025 Accepting new patients

Locations

339 West Ave
Bridgeport, CT 06604

125 Main St
Stamford, CT 06901
Phone (203) 391-7906

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1033922125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012818",
            "telephone_number": "203-391-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "014799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.