Active NPI
Robert Stephen Adcock, MSSW
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1316034614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 5409
- Practice address
- 200 S Hoover Blvd
Suite 170
Tampa, FL 33609-3540 - Phone
- (813) 335-5444
- Fax
- (727) 576-0651
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 5409 | FL | Primary |
Addresses
Primary practice location
200 S Hoover Blvd
Suite 170
Tampa, FL 33609-3540
Mailing address
PO Box 320331
Tampa, FL 33679-2331
Phone (813) 335-5444
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FL1429 | Other | FL | BRADMAN NETWORK |
| 198686 | Other | FL | COMPSYCH |
| 2074595 | Other | FL | CIGNA BEHAVIORAL |
| 7532382 | Other | FL | AETNA BEHAVIORAL |
Other names 1
- Robby Adcock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 5409 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316034614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320331",
"city": "TAMPA",
"state": "FL",
"postal_code": "336792331",
"telephone_number": "813-335-5444",
"fax_number": "727-576-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S HOOVER BLVD",
"address_2": "SUITE 170",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093540",
"telephone_number": "813-335-5444",
"fax_number": "727-576-0651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADCOCK",
"first_name": "ROBERT",
"middle_name": "STEPHEN",
"credential": "MSSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 5409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRADMAN NETWORK",
"identifier": "FL1429",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "198686",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL",
"identifier": "2074595",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL",
"identifier": "7532382",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBBY",
"last_name": "ADCOCK",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.