Stacey Larise Robinson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14195 Issued in MD

Practice address

3407 W Forest Park Ave
Baltimore, MD 21216-1426

Phone

(410) 367-1511

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Everest Health Counsel

  • Professional Counselor
  • Baltimore, MD
  • NPI 1174994222
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1265688345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 W FOREST PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161426",
            "telephone_number": "443-742-4329",
            "fax_number": "410-367-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 W FOREST PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212161426",
            "telephone_number": "410-367-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "STACEY",
        "middle_name": "LARISE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "14195",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seann M Robinson, DDS
• Shawn W. Robinson, M.D.
• Shenandoah N Robinson, MD
• Sienna Rae Robinson, RN
• Sophia Lynn Robinson, M.D.
• Takia Robinson, TAKIA ROBINSON
• Tanisha Robinson
• Tara Margaret Robinson, M.D.
• Theresa Angela Robinson, CRNP
• Toni Robinson

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.