Individual provider Active NPI

Robin Dawn Breeden, LCSW

  • Clinical Social Worker
  • Harrisonburg, VA
National Provider Identifier
1245294859
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005919 Issued in VA
Practice address
644 University Blvd
Harrisonburg, VA 22801-3750
Phone
(540) 564-5100
Fax
(757) 579-8573
NPI assigned
Apr 12, 2006
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 0904005919 VA Primary

Addresses

Primary practice location

644 University Blvd
Harrisonburg, VA 22801-3750

Mailing address

PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 564-5100

Other identifiers 1

IdentifierTypeStateIssuer
1245294859MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050131000342 VA Practitioner - Clinical Social Worker 5496705162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

Practice addresses (Care Compare)

133 W Springbrook Rd
Broadway, VA 22815-9527
Phone (540) 335-6460

136 W Elizabeth St
Harrisonburg, VA 22802-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Jan 1, 2016 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 1, 2016 Accepting new patients

Locations

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1245294859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228031430",
            "telephone_number": "540-564-5100",
            "fax_number": "757-579-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 UNIVERSITY BLVD",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013750",
            "telephone_number": "540-564-5100",
            "fax_number": "757-579-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "ROBIN",
        "middle_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245294859",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.