Individual provider Active NPI

Robin R. Goble, LCSW

  • Clinical Social Worker
  • Salyersville, KY
National Provider Identifier
1154438984
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1536 Issued in KY
Practice address
838 E Mountain Pkwy
Salyersville, KY 41465
Phone
(606) 349-7475
Fax
(606) 349-7476
NPI assigned
Aug 25, 2006
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 1536 KY Primary

Addresses

Primary practice location

838 E Mountain Pkwy
Salyersville, KY 41465

Mailing address

PO Box 280
Prestonsburg, KY 41653-0280
Phone (606) 886-1173

Other identifiers 3

IdentifierTypeStateIssuer
000000281535OtherKYANTHEM BC/BS
800012785OtherKYRAILROAD MEDICARE
7100287470MedicaidKY

Other names 1

  • Robin R. Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100203000043 KY Practitioner - Clinical Social Worker 7911040779 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albaree Health Services LLCGroup PAC ID 5991735391, 16 clinicians
Frontier Behavioral Health Center PLLCGroup PAC ID 7911284302, 3 clinicians
Martin County Rural Health Clinic PLLCGroup PAC ID 9436372141, 9 clinicians

Practice addresses (Care Compare)

186 Brenna Blvd
Suite 500
Salyersville, KY 41465-7722
Phone (606) 349-8100

6340 US Hwy 460
Staffordsville, KY 41256-8910
Phone (606) 297-1501

64 Kirk PLZ
Inez, KY 41224-6501
Phone (606) 298-2520

900 Tom Frazier Way
Suite 100
Salyersville, KY 41465-7686
Phone (606) 349-7475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1536KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Kentucky Tender Care Pediatrics LLC CurrentSince Aug 29, 2017 Accepting new patients
Frontier Behavioral Health Center PLLC CurrentSince May 1, 2017 Accepting new patients
Martin County Rural Health Clinic PLLC CurrentSince Aug 29, 2017 Accepting new patients
Frontier Medical Associates of Paintsville Inc Clinical CurrentSince Aug 1, 2020 Accepting new patients
Samaritan Family Care LLC Clinical CurrentSince Apr 21, 2019 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Feb 7, 2016 Accepting new patients
Albaree Health Services LLC Clinical CurrentSince Aug 29, 2017 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Feb 7, 2016 Accepting new patients

Locations

64 Kirk Plz
Inez, KY 41224
Phone (606) 298-2520

236 College St
Paintsville, KY 41240
Phone (606) 372-1251

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

713 Broadway St
Ste 301A
Paintsville, KY 41240
Phone (606) 372-1234

713 Broadway St
Ste 301B
Paintsville, KY 41240
Phone (606) 372-1234

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

400 University Dr
Ste 101
Prestonsburg, KY 41653
Phone (606) 886-1173

400 University Dr
Ste 102
Prestonsburg, KY 41653
Phone (606) 506-5441

838 E Mountain Pkwy
Salyersville, KY 41465
Phone (606) 349-2020

842 E Mountain Pkwy
Salyersville, KY 41465
Phone (606) 349-8100

900 Tom Frazier Way
#100
Salyersville, KY 41465
Phone (606) 349-7475

900 Tom Frazier Way
#200
Salyersville, KY 41465
Phone (606) 349-8100

6340 US Highway 460
Staffordsvlle, KY 41256
Phone (606) 297-1501

Organizations & group practices 8

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1154438984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530280",
            "telephone_number": "606-886-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 E MOUNTAIN PKWY",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "41465",
            "telephone_number": "606-349-7475",
            "fax_number": "606-349-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBLE",
        "first_name": "ROBIN",
        "middle_name": "R.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000281535",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "800012785",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100287470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "GRAY",
            "middle_name": "R.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salyersville, KY

Sources for this page

Verify at the official NPI Registry.