Active NPI
Robert L Pugh, LCSW, LMFT
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1336367200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 79
- Practice address
- 4646 Poplar Ave Ste 310
Memphis, TN 38117-4433 - Phone
- (901) 405-2007
- Fax
- (901) 405-2008
- NPI assigned
- Apr 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 79 | TN | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT 20 | TN |
Addresses
Primary practice location
4646 Poplar Ave Ste 310
Memphis, TN 38117-4433
Mailing address
4646 Poplar Ave Ste 310
Memphis, TN 38117-4433
Phone (901) 405-2007
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 79 | TN | MD | Clinical Social Worker |
| LMFT 20 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336367200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 POPLAR AVE STE 310",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174433",
"telephone_number": "901-405-2007",
"fax_number": "901-405-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 POPLAR AVE STE 310",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174433",
"telephone_number": "901-405-2007",
"fax_number": "901-405-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LCSW 79",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "LMFT 20",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.