Active NPI
Robert Joseph Vaughn, LCSW
- Social Worker
- Arcadia, FL
National Provider Identifier
1447269907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW1556
- Practice address
- 725 N 12TH Ave
Arcadia, FL 34266-8752 - Phone
- (863) 494-1242
- Fax
- (863) 491-0466
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW1556 | FL | Primary |
Addresses
Primary practice location
725 N 12TH Ave
Arcadia, FL 34266-8752
Mailing address
PO Box 997
Palmetto, FL 34220-0997
Phone (941) 776-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371629500 | Medicaid | FL | |
| 18354 | Other | FL | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445904000000",
"number": "1447269907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 997",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342200997",
"telephone_number": "941-776-4000",
"fax_number": "941-776-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 N 12TH AVE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342668752",
"telephone_number": "863-494-1242",
"fax_number": "863-491-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2015-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "SW1556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371629500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "18354",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.