Individual provider Active NPI

Robin L Dunlea, LICSW

  • Clinical Social Worker
  • Peabody, MA
National Provider Identifier
1245396878
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1031904 Issued in MA
Practice address
484 Lowell St
Suite 1B-1
Peabody, MA 01960-7934
Phone
(978) 536-0020
NPI assigned
Dec 28, 2006
Last updated
Apr 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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 1031904 MA Primary

Addresses

Primary practice location

484 Lowell St
Suite 1B-1
Peabody, MA 01960-7934

Mailing address

435 Newbury Street
Suite 214
Danvers, MA 01923-1065
Phone (978) 777-3227

Other identifiers 6

IdentifierTypeStateIssuer
460234OtherMATUFTS
1853007MedicaidMA
P07869OtherMABCBS
013129OtherMAHARVARD PILGRIM
2074602OtherMACIGNA
475453000OtherMAMAGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050930000543 MA Practitioner - Clinical Social Worker 3779518444 Practice locations: Danvers, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 A Andover St
Suite 11a
Danvers, MA 01923-1428

150 A Andover St
Suite 11a
Danvers, MA 01923-5316
Phone (978) 705-1585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cagway Health and Wellness LLC PastSince May 1, 2024 Accepting new patients
Sarah McKenzie LMHC LLC 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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1245396878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NEWBURY STREET",
            "address_2": "SUITE 214",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231065",
            "telephone_number": "978-777-3227",
            "fax_number": "978-777-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 LOWELL ST",
            "address_2": "SUITE 1B-1",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607934",
            "telephone_number": "978-536-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEA",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "460234",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853007",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P07869",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "013129",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2074602",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "475453000",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.