Individual provider Active NPI

Robert Arthur Stickles, LCSW

  • Clinical Social Worker
  • Ogdensburg, NY
National Provider Identifier
1346565413
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
109 Ford St
Ogdensburg, NY 13669-1419
Phone
(315) 394-0101
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 070971-1 NY
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

109 Ford St
Ogdensburg, NY 13669-1419

Mailing address

542 State Highway 345
Potsdam, NY 13676-3518
Phone (315) 265-5150

Other practice location 1

4 Commerce Ln
Canton, NY 13617-3739
Phone (315) 386-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327001548 NY Practitioner - Clinical Social Worker 0345500963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 Commerce LN
Canton, NY 13617-3739
Phone (315) 386-8191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070971-1NYMDClinical Social Worker
077615NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Association of the North Country, Inc. CurrentSince Jan 13, 2025 Accepting new patients

Locations

4 Commerce Ln
Canton, NY 13617
Phone (315) 386-1156

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1346565413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 STATE HIGHWAY 345",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763518",
            "telephone_number": "315-265-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FORD ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691419",
            "telephone_number": "315-394-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Commerce Ln",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NY",
            "postal_code": "136173739",
            "country_code": "US",
            "telephone_number": "315-386-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STICKLES",
        "first_name": "ROBERT",
        "middle_name": "ARTHUR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-01",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070971-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.