Individual provider Active NPI

Robert Charles Len, LCSW

  • Clinical Social Worker
  • Bedford Hills, NY
National Provider Identifier
1255606133
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082831 Issued in NY
Practice address
2 Depot PLZ
Bedford Hills, NY 10507-1827
Phone
(914) 819-0703
NPI assigned
Mar 12, 2012
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081530 NY
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 082831 NY Primary

Addresses

Primary practice location

2 Depot PLZ
Bedford Hills, NY 10507-1827

Mailing address

2 Depot PLZ
Bedford Hills, NY 10507-1827
Phone (914) 819-0703

Other practice location 1

80 Vandam St
New York, NY 10013-1009
Phone (212) 366-0047

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
I20160720000417 NY Practitioner - Clinical Social Worker 0143513762 Practice locations: Bedford Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Depot PLZ
Bedford Hills, NY 10507-1827
Phone (914) 819-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081530NYMDSocial Worker

Interoperability endpoints

  • Direct secure messaging: cpa.robertlen@142175.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1255606133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEPOT PLZ",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071827",
            "telephone_number": "914-819-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEPOT PLZ",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071827",
            "telephone_number": "914-819-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Vandam St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100131009",
            "country_code": "US",
            "telephone_number": "212-366-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEN",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081530",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

Verify at the official NPI Registry.