Individual provider Active NPI

Robin Conway, MSSW, LCSW

  • Social Worker
  • Louisville, KY
National Provider Identifier
1407479991
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1323 Issued in KY
Practice address
10205 Garlanreid PL
Louisville, KY 40223-2969
Phone
(502) 417-4708
NPI assigned
May 19, 2020
Last updated
Jun 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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 1323 KY Primary

Addresses

Primary practice location

10205 Garlanreid PL
Louisville, KY 40223-2969

Mailing address

10205 Garlanreid PL
Louisville, KY 40223-2969
Phone (502) 417-4708

Other names 1

  • Miss Robin Marie Fain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200818003177 KY Practitioner - Clinical Social Worker 4880010040 Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10205 Garlanreid PL
Louisville, KY 40223-2969
Phone (502) 417-4708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1407479991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 GARLANREID PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232969",
            "telephone_number": "502-417-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 GARLANREID PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232969",
            "telephone_number": "502-417-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "1323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "FAIN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "BSW, CSW, MSSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.