Individual provider Active NPI

Robyn Dover, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1366052276
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095821 Issued in MI
Practice address
204 E Washington St
Ann Arbor, MI 48104-2070
Phone
(734) 478-7358
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 6801095821 MI Primary

Addresses

Primary practice location

204 E Washington St
Ann Arbor, MI 48104-2070

Mailing address

34601 Beaconsfield St
Clinton Township, MI 48035-3311
Phone (586) 996-0877

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
6801095821MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Consulting PLLC Ilona Phillips LMSW PLLC Clinical PastSince Aug 9, 2020 Accepting new patients

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1366052276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34601 BEACONSFIELD ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353311",
            "telephone_number": "586-996-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E WASHINGTON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042070",
            "telephone_number": "734-478-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVER",
        "first_name": "ROBYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.