Active NPI
Takeisha Quinta Robinson, LMSW
- Social Worker
- Snellville, GA
National Provider Identifier
1184196560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW006915
- Practice address
- 2795 Main St W BLDG 20
Snellville, GA 30078-3164 - Phone
- (404) 798-6847
- NPI assigned
- Dec 21, 2018
- Last updated
- Dec 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW006915 | GA | Primary |
Addresses
Primary practice location
2795 Main St W BLDG 20
Snellville, GA 30078-3164
Mailing address
6285 Sunflower PL
Lithonia, GA 30038-6211
Phone (404) 798-6847
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 |
|---|---|---|---|
| MSW006915 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1184196560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6285 SUNFLOWER PL",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300386211",
"telephone_number": "404-798-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2795 MAIN ST W BLDG 20",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783164",
"telephone_number": "404-798-6847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TAKEISHA",
"middle_name": "QUINTA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-21",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW006915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.