Robyn Suzanne Wallin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9187-123 Issued in WI

Practice address

1334 Dewey CT
Madison, WI 53703

Phone

(608) 250-6634

Fax

(608) 250-6637

NPI assigned

May 21, 2015

Sex

Female

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

Practice roles

Locations

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.

• Rise Wisconsin Inc.

  • Community/Behavioral Health Agency
  • Madison, WI
  • NPI 1942813803
  NPD

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1235518374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 DEWEY CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53703",
            "telephone_number": "608-250-6634",
            "fax_number": "608-250-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 DEWEY CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53703",
            "telephone_number": "608-250-6634",
            "fax_number": "608-250-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "ROBYN",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9187-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellis P Waller Jr., MD
• Kenneth Russell Waller III, DVM, MS
• Thomas R Waller
• Thomas R Wallhaus, MD
• Kymm Ann Wallin
• Jessica Anne Wallis-Bhyravabotla, FNP-C
• Daniel A Wallner, PA-C
• Joseph M Wallner, PA-C
• Aiyanna Walls
• Karoline Walls

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.