Individual provider Active NPI

Robert Schwab, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1184791519
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076733-1 Issued in NY
Practice address
80 Van Cortlandt Park S Apt E52
Bronx, NY 10463
Phone
(212) 304-0094
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 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 076733-1 NY Primary

Addresses

Primary practice location

80 Van Cortlandt Park S Apt E52
Bronx, NY 10463

Mailing address

80 Van Cortlandt Park S Apt E52
Bronx, NY 10463-3155
Phone (212) 304-0094

Other practice location 1

124 Gale Pl Apt 8F
Bronx, NY 10463-2873
Phone (212) 304-0094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090624000102 NY Practitioner - Clinical Social Worker 9335290865 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 Gale PL
Apt 8F
Bronx, NY 10463-2873
Phone (212) 304-0094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
076733NYMDSocial Worker
076733-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phyllis Mandel MD PLLC Past Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1184791519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VAN CORTLANDT PARK S APT E52",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633155",
            "telephone_number": "212-304-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 VAN CORTLANDT PARK S APT E52",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "212-304-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Gale Pl Apt 8F",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104632873",
            "country_code": "US",
            "telephone_number": "212-304-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076733-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.