Individual provider Active NPI

Sheila V Robinson-Kiss, MSW

  • Clinical Social Worker
  • Fair Lawn, NJ
National Provider Identifier
1437339876
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6796-123 Issued in WI
Practice address
-178 Tunbridge Rd
Fair Lawn, NJ 07410-5404
Phone
(917) 702-9399
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 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 6796-123 WI Primary

Addresses

Primary practice location

-178 Tunbridge Rd
Fair Lawn, NJ 07410-5404

Mailing address

-178 Tunbridge Rd
Fair Lawn, NJ 07410-5404
Phone (917) 702-9399

Other practice location 1

-178 Tunbridge Rd
Fair Lawn, NJ 07410-5404

Other identifiers 2

IdentifierTypeStateIssuer
149.010587OtherILSTATE OF ILLINOIS LICENSED CLINICAL SOCIAL WORKER
6796-123OtherWILCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200708001928 NJ Practitioner - Clinical Social Worker 9133542384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

-178 Tunbridge Rd
Fair Lawn, NJ 07410-5404
Phone (917) 702-9399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6796-123WIMDClinical Social Worker

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1437339876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "-178 TUNBRIDGE RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105404",
            "telephone_number": "917-702-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "-178 TUNBRIDGE RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105404",
            "telephone_number": "917-702-9399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "-178 Tunbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074105404",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON-KISS",
        "first_name": "SHEILA",
        "middle_name": "V",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6796-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "149.010587",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "6796-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.