Individual provider Active NPI

Robert Stephen Adcock, MSSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1316034614
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5409 Issued in FL
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
FL1429OtherFLBRADMAN NETWORK
198686OtherFLCOMPSYCH
2074595OtherFLCIGNA BEHAVIORAL
7532382OtherFLAETNA BEHAVIORAL

Other names 1

  • Robby Adcock Professional name

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

LicenseStateTypeSpecialty
SW 5409FLMDClinical 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.

Verify at the official NPI Registry.