Individual provider Active NPI

Mary P. Robinson, LCSW-R

  • Clinical Social Worker
  • Fishkill, NY
National Provider Identifier
1124583265
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R062324-1 Issued in NY
Practice address
1064 Main St
Fishkill, NY 12524-3600
Phone
(845) 896-6751
Fax
(845) 227-2524
NPI assigned
Feb 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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 R062324-1 NY Primary

Addresses

Primary practice location

1064 Main St
Fishkill, NY 12524-3600

Mailing address

51 Lakeside Rd
Mahopac, NY 10541-3128
Phone (518) 229-2622

Other practice location 1

51 Lakeside Rd
Mahopac, NY 10541-3128
Phone (518) 229-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190509000584 NY Practitioner - Clinical Social Worker 0648512822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R062324-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fishkill Consultation Group CurrentSince Apr 1, 2019 Accepting new patients

Locations

1064 Main St
Fishkill, NY 12524
Phone (845) 896-6751

2 Summit Ct
Ste 205
Fishkill, NY 12524
Phone (845) 896-6751

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1124583265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 LAKESIDE RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413128",
            "telephone_number": "518-229-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 MAIN ST",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243600",
            "telephone_number": "845-896-6751",
            "fax_number": "845-227-2524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Lakeside Rd",
            "address_purpose": "LOCATION",
            "city": "Mahopac",
            "state": "NY",
            "postal_code": "105413128",
            "country_code": "US",
            "telephone_number": "518-229-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARY",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R062324-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.