Individual provider Active NPI

Nicole Robinson, LCSW

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1275373441
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016344 Issued in VA
Practice address
1315 Jamestown Rd Ste 203
Williamsburg, VA 23185-3303
Phone
(757) 603-4603
NPI assigned
May 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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 0904016344 VA Primary

Addresses

Primary practice location

1315 Jamestown Rd Ste 203
Williamsburg, VA 23185-3303

Mailing address

206 E 1St St S
Big Stone Gap, VA 24219-2904
Phone (847) 323-2074

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
I20240712000671 VA Practitioner - Clinical Social Worker 7315482551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundant Life Partners LLCGroup PAC ID 6507142296, 38 clinicians

Practice addresses (Care Compare)

1315 Jamestown Rd
Suite 203
Williamsburg, VA 23185-3303
Phone (757) 603-4603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Partners, LLC Clinical CurrentSince Jun 10, 2024 Accepting new patients
Abundant Path LLC Clinical PastSince Sep 28, 2025 Accepting new patients

Locations

1315 Jamestown Rd
Ste 203
Williamsburg, VA 23185

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1275373441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 1ST ST S",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192904",
            "telephone_number": "847-323-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 JAMESTOWN RD STE 203",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853303",
            "telephone_number": "757-603-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.