Individual provider Active NPI

Adrianne M Robinson, LCAS, LCSW

  • Clinical Social Worker
  • Wake Forest, NC
National Provider Identifier
1124466180
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008344 Issued in NC
Practice address
152 Capcom Ave
Suite 101
Wake Forest, NC 27587-6586
Phone
(919) 632-6775
Fax
(919) 590-1712
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2672 NC
Clinical Social Worker 1041C0700X C008344 NC Primary

Addresses

Primary practice location

152 Capcom Ave
Suite 101
Wake Forest, NC 27587-6586

Mailing address

3304 Glen Currin Dr
Raleigh, NC 27612-4312
Phone (919) 632-6775

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 13, 2024 through Feb 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2672NCMDMental Health Counselor
C008344NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1124466180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 GLEN CURRIN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124312",
            "telephone_number": "919-632-6775",
            "fax_number": "919-590-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CAPCOM AVE",
            "address_2": "SUITE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876586",
            "telephone_number": "919-632-6775",
            "fax_number": "919-590-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ADRIANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCAS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.