Active NPI
Christopher J Robb, LCSW
- Clinical Social Worker
- Sandy, OR
National Provider Identifier
1104013259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5986
- Practice address
- 38872 Proctor Blvd
Sandy, OR 97055-8035 - Phone
- (503) 722-6950
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukie, OR
- NPI 1245269315
-
- Federally Qualified Health Center (FQHC)
- Sandy, OR
- NPI 1841442001
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1447507215
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1720017809
-
- Federally Qualified Health Center (FQHC)
- Clackamas, OR
- NPI 1891042487
-
- Federally Qualified Health Center (FQHC)
- Sandy, OR
- NPI 1043566847
-
- Federally Qualified Health Center (FQHC)
- Gladstone, OR
- NPI 1275880866
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Clackamas Office of County Auditor
Practice addresses (Care Compare)
39740 Pleasant St
Sandy, OR 97055-6412
Phone (503) 655-8471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140912000995 | OR | Practitioner - Clinical Social Worker | 1951497973 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 3436 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clackamas Office of County Auditor | Current | Accepting new patients | |
| Clackamas County | Current | Accepting new patients | |
| Clackamas County | Past | Accepting new patients |
Locations
2051 Kaen Rd
Ste 367
Oregon City, OR 97045
Phone (503) 742-5300
39740 Pleasant St
Sandy, OR 97055
Phone (503) 563-7679
38872 Proctor Blvd
Sandy, OR 97055
Phone (503) 722-6950
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 3436 | HI | |
| Clinical Social Worker | 1041C0700X | L5986 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
38872 Proctor Blvd
Sandy, OR 97055-8035
Mailing address
140 South Holly Street
Medford, OR 97501
Phone (541) 774-8200
Other practice location 1
140 South Holly Street
Medford, OR 97501
Phone (541) 774-8200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2018.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1104013259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SOUTH HOLLY STREET",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97501",
"telephone_number": "541-774-8200",
"fax_number": "541-774-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38872 PROCTOR BLVD",
"city": "SANDY",
"state": "OR",
"postal_code": "970558035",
"telephone_number": "503-722-6950"
}
],
"practiceLocations": [
{
"address_1": "140 South Holly Street",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "97501",
"country_code": "US",
"telephone_number": "541-774-8200",
"fax_number": "541-774-7964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBB",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW 3436",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.