Active NPI
Carol Samuel Robinson, LCSW-C
- Clinical Social Worker
- Perryville, MD
National Provider Identifier
1114247947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15566
- Practice address
- Dept of Veterans Affairs
Building #80
Perryville, MD 21902 - Phone
- (410) 642-2411
- NPI assigned
- Jun 3, 2010
- Last updated
- Jun 3, 2010
- 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 | 15566 | MD | Primary |
Addresses
Primary practice location
Dept of Veterans Affairs
Building #80
Perryville, MD 21902
Mailing address
Perry Point VA Medical Center
Building #80
Perryville, MD 21902
Phone (410) 642-2411
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 |
|---|---|---|---|
| 15566 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1114247947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PERRY POINT VA MEDICAL CENTER",
"address_2": "BUILDING #80",
"city": "PERRYVILLE",
"state": "MD",
"postal_code": "21902",
"telephone_number": "410-642-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT OF VETERANS AFFAIRS",
"address_2": "BUILDING #80",
"city": "PERRYVILLE",
"state": "MD",
"postal_code": "21902",
"telephone_number": "410-642-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CAROL",
"middle_name": "SAMUEL",
"name_prefix": "Mrs.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "15566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perryville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.