Active NPI
Robin Croudo, LCSW
- Clinical Social Worker
- East Meadow, NY
National Provider Identifier
1114224078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 070575-1
- Practice address
- 523 Richmond Rd
East Meadow, NY 11554-2230 - Phone
- (516) 483-8122
- Fax
- (718) 459-2946
- NPI assigned
- Feb 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 070575-1 | NY | Primary |
Addresses
Primary practice location
523 Richmond Rd
East Meadow, NY 11554-2230
Mailing address
523 Richmond Rd
East Meadow, NY 11554-2230
Phone (516) 483-8122
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070575-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297382400000",
"number": "1114224078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 RICHMOND RD",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542230",
"telephone_number": "516-483-8122",
"fax_number": "718-459-2946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 RICHMOND RD",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542230",
"telephone_number": "516-483-8122",
"fax_number": "718-459-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUDO",
"first_name": "ROBIN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-11",
"last_updated": "2011-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "070575-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.