Individual provider Active NPI

Gina Michelle Robinson, LCSW C

  • Social Worker
  • Columbia, MD
National Provider Identifier
1376688812
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13046 Issued in MD
Practice address
10630 Little Patuxent Pkwy Ste 475
Columbia, MD 21044-6228
Phone
(443) 574-4295
Fax
(443) 574-6515
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13046 MD Primary

Addresses

Primary practice location

10630 Little Patuxent Pkwy Ste 475
Columbia, MD 21044-6228

Mailing address

3362 North Chatham Rd
Apt # I
Ellicott City, MD 21042
Phone (410) 465-1360

Other identifiers 9

IdentifierTypeStateIssuer
2144939OtherMDMAMSI OPTIMUM CHOICE MDIP
H1240024OtherMDCAREFIRST BLUECHOICE
835749000OtherMAGELLAN BEHAVIORAL HEALT
88497901OtherMDCAREFIRST BCBS
260193OtherKAISER PERMANENTE
566863OtherVALUE OPTIONS
9419976OtherPRIVATE HEALTHCARE SYSTEM
376856OtherMANAGED HEALTH NETWORK
7162763OtherAETNA US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20191022003693 MD Practitioner - Clinical Social Worker 8123350238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10630 Little Patuxent Pkwy
Suite 475
Columbia, MD 21044-6228

10632 Little Patuxent Pkwy
Suite 475
Columbia, MD 21044-3273
Phone (443) 574-4295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Counseling and Consulting Services CurrentSince Aug 21, 2019 Accepting new patients

Locations

10630 Little Patuxent Pkwy
Ste 475
Columbia, MD 21044
Phone (443) 574-4295

10632 Little Patuxent Pkwy
Ste 330
Columbia, MD 21044
Phone (240) 437-4920

10632 Little Patuxent Pkwy
Ste 475
Columbia, MD 21044
Phone (443) 574-4295

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1376688812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 NORTH CHATHAM RD",
            "address_2": "APT # I",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "410-465-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 475",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446228",
            "telephone_number": "443-574-4295",
            "fax_number": "443-574-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "GINA",
        "middle_name": "MICHELLE",
        "credential": "LCSW C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "13046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI OPTIMUM CHOICE MDIP",
            "identifier": "2144939",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "H1240024",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "835749000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "88497901",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "260193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "566863",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "9419976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "376856",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7162763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.