Individual provider Active NPI

Christopher J Robb, LCSW

  • Clinical Social Worker
  • Sandy, OR
National Provider Identifier
1104013259
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5986 Issued in OR
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.

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 75 clinicians

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140912000995 OR Practitioner - Clinical Social Worker 1951497973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 3436HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clackamas Office of County Auditor CurrentSince Oct 8, 2018 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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW 3436 HI
Clinical Social Worker 1041C0700X L5986 OR Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.