Individual provider Active NPI

Sahra Y Robinson, LCSW

  • Clinical Social Worker
  • Island Park, NY
National Provider Identifier
1467707810
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074680-1 Issued in NY
Practice address
4025 Austin Blvd
Island Park, NY 11558-1221
Phone
(516) 415-2190
Fax
(516) 432-0760
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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 074680-1 NY Primary

Addresses

Primary practice location

4025 Austin Blvd
Island Park, NY 11558-1221

Mailing address

4025 Austin Blvd
Island Park, NY 11558-1221
Phone (516) 415-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120920000530 NY Practitioner - Clinical Social Worker 8527216233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2499 Long Beach Rd
Apt 2
Oceanside, NY 11572-1397
Phone (516) 308-8042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074680-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Zone LCSW PLLC Clinical CurrentSince Aug 23, 2016 Accepting new patients
Serenity Zone LCSW PLLC Clinical CurrentSince Aug 23, 2016 Accepting new patients
Myndfulness Zone LLC Current Accepting new patients

Locations

4025 Austin Blvd
Island Park, NY 11558
Phone (516) 415-2190

Organizations & group practices 3

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1467707810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 AUSTIN BLVD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581221",
            "telephone_number": "516-415-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 AUSTIN BLVD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581221",
            "telephone_number": "516-415-2190",
            "fax_number": "516-432-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SAHRA",
        "middle_name": "Y",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Park, NY

Sources for this page

Verify at the official NPI Registry.