Robert R Myers Jr., LCSW, CCDP DIPLOMATE

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

400314 Issued in PA

Practice address

864 County Line Rd
Bryn Mawr, PA 19010-2516

Phone

(215) 301-8613

NPI assigned

Jun 21, 2009

Sex

Male

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": "1245542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245542400000",
    "number": "1417184151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102516",
            "telephone_number": "215-301-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102516",
            "telephone_number": "215-301-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS JR.",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LCSW, CCDP DIPLOMATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-21",
        "last_updated": "2009-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "400314",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sami Musallam
• Yelena Mushiyakh, MD
• Patricia Muthaura, MD
• Kristofer Perry Muzzi, MD
• Kerri Gentile Myatt, L.OM., DIPL.OM.
• Myown Healing PT and MFR, LLC
• Steven R. Myrick, M.D.
• David Kent Nace, M.D
• Diane Nachamkin, NP
• Julia Michele Nagel, RDN

• Addiction (Substance Use Disorder) Counselor in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2009; 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.