Individual provider Active NPI

Robert David Spuller, CSWR

  • Clinical Social Worker
  • North Tonawanda, NY
National Provider Identifier
1235282534
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
037381 Issued in NY
Practice address
89-B River Road
North Tonawanda, NY 14120
Phone
(716) 278-8110
Fax
(716) 278-8111
NPI assigned
Jan 19, 2007
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 037381 NY Primary

Addresses

Primary practice location

89-B River Road
North Tonawanda, NY 14120

Mailing address

1001 Eleventh Street
Room 172 Trott Access Center
Niagara Falls, NY 14301
Phone (716) 278-8110

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
I20080618000102 NY Practitioner - Clinical Social Worker 9537230651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louis P. Labarber, PHD, CSW, P.C.Group PAC ID 9739157751, 6 clinicians

Practice addresses (Care Compare)

419 Walnut Ave
Niagara Falls, NY 14301-1761
Phone (716) 285-1904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Niagara Past Accepting new patients

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, 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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1235282534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ELEVENTH STREET",
            "address_2": "ROOM 172 TROTT ACCESS CENTER",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-278-8110",
            "fax_number": "716-278-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-B RIVER ROAD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-278-8110",
            "fax_number": "716-278-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPULLER",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "CSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "037381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.