Individual provider Active NPI

Gary L. Robinson, MSW APSW

  • Social Worker
  • Milwaukee, WI
National Provider Identifier
1396902003
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
126471-121 Issued in WI
Practice address
151 S 84TH St
Milwaukee, WI 53214-1456
Phone
(414) 476-3710
Fax
(414) 778-5985
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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 126471-121 WI Primary

Addresses

Primary practice location

151 S 84TH St
Milwaukee, WI 53214-1456

Mailing address

151 S 84TH St
Milwaukee, WI 53214-1456
Phone (414) 476-3710

Other identifiers 2

IdentifierTypeStateIssuer
41002100MedicaidWI
126471-121OtherWIAPSW

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
126471-121WIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1396902003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S 84TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141456",
            "telephone_number": "414-476-3710",
            "fax_number": "414-778-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S 84TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141456",
            "telephone_number": "414-476-3710",
            "fax_number": "414-778-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "GARY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "MSW APSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "126471-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41002100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APSW",
            "identifier": "126471-121",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.