Active NPI
Robert Lee Royal, LSW
- Social Worker
- Bloomington, IL
National Provider Identifier
1093628414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.116227
- Practice address
- 1003 Martin Luther King Dr
Bloomington, IL 61701-1429 - Phone
- (888) 924-3786
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Sex
- Male
- 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 | 150.116227 | IL | Primary |
Addresses
Primary practice location
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone (888) 924-3786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1093628414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 MARTIN LUTHER KING DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011429",
"telephone_number": "888-924-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 MARTIN LUTHER KING DR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011429",
"telephone_number": "888-924-3786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "ROBERT",
"middle_name": "LEE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.116227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.