Robert E Hersey, CLINICAL SOCIAL WORK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61041203 Issued in WA

Practice address

2717 N Highland St
Tacoma, WA 98407-2414

Phone

(253) 306-0598

NPI assigned

Nov 9, 2022

Last updated

Nov 15, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1205544186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N HIGHLAND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072414",
            "telephone_number": "253-306-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N HIGHLAND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072414",
            "telephone_number": "253-306-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSEY",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "CLINICAL SOCIAL WORK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61041203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Maree Herrera
• Edward Adlen Herrera
• Doug Herrett, DO, MPH
• Anna Herron
• Sarah A Herron, L.L.
• Laura Lynn Hershkowitz, D.O.
• Wayne D Herstad, DC
• Annalise Hertler
• Kyle Alexander Hertzog
• Kelly Herzberg

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.