Shavon Robinson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094529 Issued in MI

Practice address

21042 S Hart PL
Ferndale, MI 48220-2109

Phone

(313) 575-2761

NPI assigned

Apr 25, 2016

Last updated

Aug 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1366897688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21042 S HART PL",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202109",
            "telephone_number": "313-575-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21042 S HART PL",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202109",
            "telephone_number": "313-575-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHAVON",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094529",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Michigan Inc (Rite Aid Pharmacy 03878)
• Robert C Fuller DDS & Jennifer R Fuller DDS
• Mary Robert
• Lauren M Roberts
• Latrice Robinson, MA, LLP
• Dale Rohrbach, LPC
• Reem Romaya, PHARMD
• Ronald Martella DDS PLC
• Eleanor Paige Rosenberg, LPC
• Megan Rosolowsky, DPT

• Clinical Social Worker in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.