Individual provider Active NPI

Robin I Lerner, L.C.S.W.

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1215998703
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09117 Issued in MD
Practice address
5024 Campbell Blvd
Auite H
Baltimore, MD 21236-5974
Phone
(410) 931-9280
Fax
(410) 931-6694
NPI assigned
Apr 1, 2006
Last updated
Sep 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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 09117 MD Primary

Addresses

Primary practice location

5024 Campbell Blvd
Auite H
Baltimore, MD 21236-5974

Mailing address

5024 Campbell Blvd
Auite H
Baltimore, MD 21236-5974
Phone (410) 931-9280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20081003000324 MD Practitioner - Clinical Social Worker 2769550748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Marsh Psychiatric Associates, LLCGroup PAC ID 3072681105, 10 clinicians

Practice addresses (Care Compare)

5024 Campbell Blvd
Baltimore, MD 21236-5974
Phone (410) 931-9280

5024 Campbell Boulevard
Suite H
Baltimore, MD 21236-5974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09117MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
White Marsh Psychiatric Associates, LLC Clinical CurrentSince Oct 1, 2008 Accepting new patients
Bay Life Services Corporation Past Accepting new patients
Bay Life Services Corporation Past Accepting new patients

Locations

5024 Campbell Blvd
Ste H
Nottingham, MD 21236
Phone (410) 569-9201

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1215998703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 CAMPBELL BLVD",
            "address_2": "AUITE H",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365974",
            "telephone_number": "410-931-9280",
            "fax_number": "410-931-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 CAMPBELL BLVD",
            "address_2": "AUITE H",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365974",
            "telephone_number": "410-931-9280",
            "fax_number": "410-931-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERNER",
        "first_name": "ROBIN",
        "middle_name": "I",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.