Active NPI
Robin Wasserman, LMSW
- Social Worker
- Seaford, NY
National Provider Identifier
1154557551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 072925
- Practice address
- 2234 Jackson Ave
Seaford, NY 11783-2600 - Phone
- (516) 356-0821
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 072925 | NY | Primary |
| School Social Worker | 1041S0200X | 072925 | NY |
Addresses
Primary practice location
2234 Jackson Ave
Seaford, NY 11783-2600
Mailing address
266 Cheltenham Rd
West Babylon, NY 11704-3032
Phone (516) 356-0821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072925 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1154557551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 CHELTENHAM RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117043032",
"telephone_number": "516-356-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2234 JACKSON AVE",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832600",
"telephone_number": "516-356-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "ROBIN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "072925",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "072925",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.