Active NPI
Jordan K. Robins, LCSW
- Clinical Social Worker
- Burley, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-29493
- Practice address
- 1309 Bennett Ave
Burley, ID 83318-2676 - Phone
- (208) 678-0101
- Fax
- (208) 678-0303
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-29493 | ID | Primary |
Addresses
Primary practice location
1309 Bennett Ave
Burley, ID 83318-2676
Mailing address
794 Eastland Dr
Twin Falls, ID 83301-6856
Phone (208) 737-6718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Virginia Commonwealth University, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1309 Bennett Ave
Burley, ID 83318-2676
Phone (208) 678-7796
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-29493 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services Corporation | Clinical | Current | Accepting new patients |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Clinical | Current | Accepting new patients |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Clinical | Past | Accepting new patients |
Locations
725 Fair St
Buhl, ID 83316
Phone (208) 543-8271
1010 W 17th St
Burley, ID 83318
Phone (208) 678-0101
1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198
218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471
402 6th St
Rupert, ID 83350
Phone (208) 650-7941
388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451
826 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-4061
794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312
325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101
Interoperability endpoints
- jordan.robins.p1@direct.fhsid.nextgenshare.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Burley, ID
- NPI 1033165550
-
- Federally Qualified Health Center (FQHC)
- Rupert, ID
- NPI 1093761694
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1235279217
Clinical
-
- Federally Qualified Health Center (FQHC)
- Fairfield, ID
- NPI 1316984529
Clinical
-
- Federally Qualified Health Center (FQHC)
- Burley, ID
- NPI 1710503909
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1124571815
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1255028221
-
- Federally Qualified Health Center (FQHC)
- Shoshone, ID
- NPI 1841932498
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1215041793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "794 EASTLAND DR",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016856",
"telephone_number": "208-737-6718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 BENNETT AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182676",
"telephone_number": "208-678-0101",
"fax_number": "208-678-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINS",
"first_name": "JORDAN",
"middle_name": "K.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-29493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.