Individual provider Active NPI

Robin A Williams, PH.D.,LCSW,

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1336173756
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11329 Issued in MN
Practice address
230 W Superior St Ste 400
Duluth, MN 55802
Phone
(218) 341-9158
NPI assigned
Jul 10, 2006
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 11329 MN Primary

Addresses

Primary practice location

230 W Superior St Ste 400
Duluth, MN 55802

Mailing address

230 W Superior St Ste 400
Duluth, MN 55802-4021
Phone (218) 341-9158

Other names 1

  • Dr. Robin Allen Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 1, 2024 through Dec 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Footsteps Counseling Center CurrentSince Jul 1, 2013 Accepting new patients
Robin a. Williams, PH.D.,LLC PastSince Jan 19, 2011 Accepting new patients
Light Counseling, Inc. Clinical PastSince May 19, 2024 Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F Past Accepting new patients
Pathways Psychological Services, P.a. PastSince May 16, 2005 Accepting new patients

Locations

6851 Courthouse Rd
Chesterfield, VA 23832
Phone (804) 715-3215

6851 Courthouse Rd
#300
Chesterfield, VA 23832

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1336173756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W SUPERIOR ST STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558024021",
            "telephone_number": "218-341-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W SUPERIOR ST STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-341-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBIN",
        "middle_name": "A",
        "credential": "PH.D.,LCSW,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "11329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "WILLIAMS",
            "middle_name": "ALLEN",
            "prefix": "DR.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.