Individual provider Active NPI

Victoria Renee Kelly Robles, LMSW

  • Social Worker
  • Beltsville, MD
National Provider Identifier
1144938333
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27386 Issued in MD
Practice address
11720 Beltsville Dr Ste 500-A18
Beltsville, MD 20705-3166
Phone
(240) 696-9200
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 27386 MD Primary

Addresses

Primary practice location

11720 Beltsville Dr Ste 500-A18
Beltsville, MD 20705-3166

Mailing address

8849 Thomas Lea Ter
Montgomery Village, MD 20886-4347
Phone (443) 880-0828

Other names 1

  • Victoria Renee Kelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6175 Executive Blvd
Suite F
Rockville, MD 20852-3901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27386MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1144938333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 THOMAS LEA TER",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208864347",
            "telephone_number": "443-880-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 BELTSVILLE DR STE 500-A18",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053166",
            "telephone_number": "240-696-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY ROBLES",
        "first_name": "VICTORIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "KELLY",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beltsville, MD

Sources for this page

Verify at the official NPI Registry.