Individual provider Active NPI

Danielle Rose Robertson, LCSW

  • Clinical Social Worker
  • New Port Richey, FL
National Provider Identifier
1396289971
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17553 Issued in FL
Practice address
5411 Grand Blvd Ste 109
New Port Richey, FL 34652-4010
Phone
(727) 222-0733
Fax
(813) 867-7079
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 SW17553 FL Primary

Addresses

Primary practice location

5411 Grand Blvd Ste 109
New Port Richey, FL 34652-4010

Mailing address

5411 Grand Blvd Ste 109a
New Port Richey, FL 34652-4010
Phone (727) 222-0733

Other identifiers 2

IdentifierTypeStateIssuer
1396289971OtherFLNPI
101YM0800XMedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210323000353 FL Practitioner - Clinical Social Worker 3072920859 Practice locations: New Port Richey, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5411 Grand Blvd
Suite 109a
New Port Richey, FL 34652-4010
Phone (727) 222-0733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW17553FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Counseling Services, PA Clinical Past Accepting new patients
Advanced Counseling Services, Professional Association PastSince Feb 4, 2020 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1396289971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 GRAND BLVD STE 109A",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524010",
            "telephone_number": "727-222-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 GRAND BLVD STE 109",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524010",
            "telephone_number": "727-222-0733",
            "fax_number": "813-867-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DANIELLE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396289971",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.