Individual provider Active NPI

Alfred Lloyd Robrecht

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1104337468
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010077 Issued in VA
Practice address
3635 Manassas Dr
Roanoke, VA 24018-4031
Phone
(540) 774-4686
Fax
(540) 989-8893
NPI assigned
Oct 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 0904010077 VA Primary

Addresses

Primary practice location

3635 Manassas Dr
Roanoke, VA 24018-4031

Mailing address

3635 Manassas Dr
Roanoke, VA 24018-4031
Phone (540) 774-4686

Other practice location 1

1921 Avon Rd SW
Roanoke, VA 24015-2705
Phone (540) 312-9832

Other practice location 2

3635 Manassas Dr
Roanoke, VA 24018-4031
Phone (540) 774-4686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117000934 VA Practitioner - Clinical Social Worker 5294146676 Practice locations: Roanoke, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Tulane University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3635 Manassas Dr
Roanoke, VA 24018-4031
Phone (540) 774-4686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010077VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avery E Kerr Dmin LPC LLC PastSince Nov 10, 2024 Accepting new patients
Onstead Counseling Services LLC Clinical Past Accepting new patients

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1104337468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 MANASSAS DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184031",
            "telephone_number": "540-774-4686",
            "fax_number": "540-989-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 MANASSAS DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184031",
            "telephone_number": "540-774-4686",
            "fax_number": "540-989-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Avon Rd SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240152705",
            "country_code": "US",
            "telephone_number": "540-312-9832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3635 Manassas Dr",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240184031",
            "country_code": "US",
            "telephone_number": "540-774-4686",
            "fax_number": "540-989-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBRECHT",
        "first_name": "ALFRED",
        "middle_name": "LLOYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.