Active NPI
Robert Aloysius Crimmins, LCSW
- Clinical Social Worker
- Bunnell, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW3326
- Practice address
- 301 Justice LN
Bunnell, FL 32110-4487 - Phone
- (386) 236-3265
- NPI assigned
- Jul 14, 2005
- Last updated
- Nov 15, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW3326 | FL | Primary |
Addresses
Primary practice location
301 Justice LN
Bunnell, FL 32110-4487
Mailing address
20 Sandpiper LN
Ormond Beach, FL 32174-4264
Phone (386) 676-1745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 W Calvin St
Deland, FL 32720-7403
Phone (800) 539-4228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW3326 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sma Healthcare, Inc | Current | Accepting new patients | |
| Sma Healthcare Inc | Current | Accepting new patients | |
| Sma Healthcare Inc | Current | Accepting new patients | |
| Yorkshire Mental Health Enterprises PA | Clinical | Past | Accepting new patients |
| Sma Healthcare Inc | Past | Accepting new patients | |
| Sma Healthcare Inc | Past | Accepting new patients |
Locations
301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726
1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183
1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200
150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215
225 Fentress Blvd
Ste A
Daytona Beach, FL 32114
Phone (386) 236-3221
3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328
702 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 254-1262
356 Englenook Dr
Ste 142
Debary, FL 32713
105 W Calvin St
Deland, FL 32720
Phone (386) 236-3290
1251 N Stone St
Deland, FL 32720
Phone (386) 469-1544
330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780
1955 US Highway 1 S
Ste C2
Saint Augustine, FL 32086
Phone (904) 209-6001
1880 San Sebastian Vw
Ste 4201
St Augustine, FL 32084
Interoperability endpoints
- robert.crimmins.p1@direct.smahealthcare.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Daytona Beach, FL
- NPI 1356329163
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ocala, FL
- NPI 1740853514
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1255950168
-
- Developmentally Disabled Services Day Training Agency
- Daytona Beach, FL
- NPI 1316132772
-
- Psychiatric Hospital
- Daytona Beach, FL
- NPI 1750369666
-
- Psychiatry Physician
- Ormond Beach, FL
- NPI 1003821497
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1477552297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SANDPIPER LN",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321744264",
"telephone_number": "386-676-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 JUSTICE LN",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321104487",
"telephone_number": "386-236-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIMMINS",
"first_name": "ROBERT",
"middle_name": "ALOYSIUS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW3326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bunnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.