Individual provider Active NPI

Robyn Beth Straub, LCSW-C

  • Clinical Social Worker
  • Annapolis, MD
National Provider Identifier
1093214538
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20749 Issued in MD
Practice address
1200 West St Ste 203
Annapolis, MD 21401-3610
Phone
(703) 963-4857
NPI assigned
Feb 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904005656 VA
Clinical Social Worker 1041C0700X 20749 MD Primary

Addresses

Primary practice location

1200 West St Ste 203
Annapolis, MD 21401-3610

Mailing address

5516 Berkley Manor LN
Churchton, MD 20733-9697
Phone (703) 963-4857

Other practice location 1

5901 Kingstowne Village Pkwy
Alexandria, VA 22315-5880
Phone (703) 963-4857

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

LicenseStateTypeSpecialty
0904005656VAMDClinical Social Worker
20749MDMDOncology Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1093214538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 BERKLEY MANOR LN",
            "city": "CHURCHTON",
            "state": "MD",
            "postal_code": "207339697",
            "telephone_number": "703-963-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WEST ST STE 203",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013610",
            "telephone_number": "703-963-4857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 Kingstowne Village Pkwy",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223155880",
            "country_code": "US",
            "telephone_number": "703-963-4857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "ROBYN",
        "middle_name": "BETH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005656",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "20749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.