Robert Lynn Desoto, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000514 Issued in NC

Practice address

925 Conference Dr
Greenville, NC 27858-5971

Phone

(252) 756-4899

Fax

(252) 756-5141

NPI assigned

Dec 26, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aces for Autism

  • Clinic/Center
  • Greenville, NC
  • NPI 1174978480
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174688733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 MARES WAY",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587940",
            "telephone_number": "252-355-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CONFERENCE DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585971",
            "telephone_number": "252-756-4899",
            "fax_number": "252-756-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOTO",
        "first_name": "ROBERT",
        "middle_name": "LYNN",
        "credential": "LCSW, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002068",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "28428",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dependable Services, Inc. (Dependable Case Management)
• David Robert Derkits, MD
• Tejas Pradeep Desai, MD
• Designing the Future Home Care, Inc.
• Hannah Howard Desoto, LCSW, BCD
• Travis L Dessoffy, CPO
• Destination Management &Associates
• Destined Path Community Services
• Madeline Desvergers, RN
• Samantha Determan, SLP

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.