Individual provider Active NPI

Robin Neyrey, LCSW

  • Clinical Social Worker
  • The Woodlands, TX
National Provider Identifier
1114332590
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30960 Issued in TX
Practice address
25511 Budde Rd
Suite 502
The Woodlands, TX 77380-2080
Phone
(713) 213-8194
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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 30960 TX Primary

Addresses

Primary practice location

25511 Budde Rd
Suite 502
The Woodlands, TX 77380-2080

Mailing address

25511 Budde Rd
Suite 502
The Woodlands, TX 77380-2080
Phone (713) 213-8194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 6, 2024 through Feb 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30960TXMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1114332590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD",
            "address_2": "SUITE 502",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802080",
            "telephone_number": "713-213-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD",
            "address_2": "SUITE 502",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802080",
            "telephone_number": "713-213-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYREY",
        "first_name": "ROBIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.