Individual provider Active NPI

Robin Lee Stocksdale, MSW LCSW-C

  • Clinical Social Worker
  • Hunt Valley, MD
National Provider Identifier
1336409028
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09417 Issued in MD
Practice address
11311 McCormick Rd Ste 350
Hunt Valley, MD 21031-8618
Phone
(443) 849-8283
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2012

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 09417 MD Primary

Addresses

Primary practice location

11311 McCormick Rd Ste 350
Hunt Valley, MD 21031-8618

Mailing address

7114 Rodgers CT
Baltimore, MD 21212-1523
Phone (410) 823-6765

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

LicenseStateTypeSpecialty
09417MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1336409028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 RODGERS CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121523",
            "telephone_number": "410-823-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 MCCORMICK RD STE 350",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210318618",
            "telephone_number": "443-849-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKSDALE",
        "first_name": "ROBIN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.