Individual provider Active NPI

Casey Angelle Robinson, LCSW

  • Clinical Social Worker
  • Lafayette, LA
National Provider Identifier
1124579347
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9082 Issued in LA
Practice address
614 W Saint Mary Blvd
Lafayette, LA 70506-3538
Phone
(337) 706-4505
Fax
(855) 787-9483
NPI assigned
Oct 24, 2016
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 9082 LA Primary

Addresses

Primary practice location

614 W Saint Mary Blvd
Lafayette, LA 70506-3538

Mailing address

PO Box 1954
Scott, LA 70583-1954
Phone (337) 706-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170109002219 LA Practitioner - Clinical Social Worker 5193006096 Practice locations: Lafayette, LA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

614 W Saint Mary Blvd
Lafayette, LA 70506-3538
Phone (337) 706-4505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9082LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Center for Behavioral Health LLC Clinical PastSince Apr 6, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1124579347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1954",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705831954",
            "telephone_number": "337-706-4505",
            "fax_number": "855-787-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W SAINT MARY BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063538",
            "telephone_number": "337-706-4505",
            "fax_number": "855-787-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CASEY",
        "middle_name": "ANGELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.