Active NPI
Susan T Robinson, L.C.S.W.
- Social Worker
- San Rafael, CA
National Provider Identifier
1467697409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCS16418
- Practice address
- 101 Graceland Drive
San Rafael, CA 94901 - Phone
- (415) 457-1696
- Fax
- (415) 457-1696
- NPI assigned
- Dec 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS16418 | CA | Primary |
Addresses
Primary practice location
101 Graceland Drive
San Rafael, CA 94901
Mailing address
15 Cresthill Dr
#A
Nyack, NY 10960-2725
Phone (415) 846-9330
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS16418 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1467697409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CRESTHILL DR",
"address_2": "#A",
"city": "NYACK",
"state": "NY",
"postal_code": "109602725",
"telephone_number": "415-846-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GRACELAND DRIVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "94901",
"telephone_number": "415-457-1696",
"fax_number": "415-457-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "SUSAN",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-04",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCS16418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.