Robert Lee Egbert, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2254 Issued in OR

Practice address

724 Ellsworth St SW
Albany, OR 97321-2366

Phone

(503) 380-2666

NPI assigned

Mar 22, 2009

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1235370271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41582 UPPER CALAPOOIA DR",
            "city": "SWEET HOME",
            "state": "OR",
            "postal_code": "973869625",
            "telephone_number": "503-380-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ELLSWORTH ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212366",
            "telephone_number": "503-380-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-22",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Eaker
• Brett James Ebert, PA-C
• Michelle D. Eckroth, M.D.
• Hannah Iris Edmiston
• Tabitha Edwards
• Terry Lynn Eheler, L.C.S.W.
• Gregory Allen Eldredge, PWS, CRM
• Christopher Scot Elgin, MA LPC CADCI
• Karol Elizondo, REGISTER NURSE
• Roxanne Irene Ellingboe, RN

• Clinical Social Worker in Albany, OR
• Providers in Albany, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.