Individual provider Active NPI

Kimberly Alexis Robinson, MSW

  • Clinical Social Worker
  • Rocky Mount, NC
National Provider Identifier
1417568684
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CO17261 Issued in NC
Practice address
2747 Sunset Ave Ste 109
Rocky Mount, NC 27804-3751
Phone
(252) 985-3216
Fax
(252) 985-3210
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 CO17261 NC Primary

Addresses

Primary practice location

2747 Sunset Ave Ste 109
Rocky Mount, NC 27804-3751

Mailing address

236 Overton Dr
Rocky Mount, NC 27804-1748
Phone (252) 458-5166

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO17261NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Care Services Inc CurrentSince Aug 23, 2020 Accepting new patients

Locations

2747 Sunset Ave
#109
Rocky Mount, NC 27804
Phone (252) 902-4099

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417568684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 OVERTON DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041748",
            "telephone_number": "252-458-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 SUNSET AVE STE 109",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043751",
            "telephone_number": "252-985-3216",
            "fax_number": "252-985-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KIMBERLY",
        "middle_name": "ALEXIS",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "CO17261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.