Individual provider Active NPI

Robin Amy Smith, LCSW

  • Clinical Social Worker
  • Scroggins, TX
National Provider Identifier
1134418338
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51889 Issued in TX
Practice address
702 Kings Country Blvd
Scroggins, TX 75480-4103
Phone
(903) 348-2906
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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 51889 TX Primary

Addresses

Primary practice location

702 Kings Country Blvd
Scroggins, TX 75480-4103

Mailing address

702 Kings Country Blvd
Scroggins, TX 75480-4103
Phone (903) 348-2906

Other names 1

  • Robin Amy White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210518002946 TX Practitioner - Clinical Social Worker 7517366834 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Mental Health Mental Retardation Center CurrentSince Oct 18, 2021 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince May 14, 2021 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

1300 W 16th St
Mt Pleasant, TX 75455
Phone (972) 524-4159

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1134418338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 KINGS COUNTRY BLVD",
            "city": "SCROGGINS",
            "state": "TX",
            "postal_code": "754804103",
            "telephone_number": "903-348-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 KINGS COUNTRY BLVD",
            "city": "SCROGGINS",
            "state": "TX",
            "postal_code": "754804103",
            "telephone_number": "903-348-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBIN",
        "middle_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "WHITE",
            "middle_name": "AMY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scroggins, TX

Sources for this page

Verify at the official NPI Registry.