Robert Aloysius Crimmins, LCSW
Individual provider Active NPI Clinical Social Worker · Bunnell, FL
NPI 1477552297 · NPPES record last updated Nov 15, 2021
Key facts
- NPI
- 1477552297
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW3326 (FL)
- Practice address
- 301 Justice LN
Bunnell, FL 32110-4487 - Phone
- (386) 236-3265
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sma Healthcare Inc
Practice addresses (Care Compare)
105 W Calvin St
Deland, FL 32720-7403
Phone (800) 539-4228
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220203001508 | FL | Practitioner - Clinical Social Worker | 1355734997 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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 | |
| Sma Healthcare Inc | Past | Accepting new patients | |
| Yorkshire Mental Health Enterprises PA | Clinical | Past | Accepting new patients |
| Sma Healthcare Inc | Past |
Accepting new patients |
Locations
301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726
3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328
1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200
702 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 254-1211
225 Fentress Blvd
Ste A
Daytona Beach, FL 32114
Phone (386) 236-3221
1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183
150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215
356 Englenook Dr
Ste 142
Debary, FL 32713
105 W Calvin St
Deland, FL 32720
Phone (386) 254-1100
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW3326 | FL | Yes |
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
Other providers in Bunnell, FL
- Daniel Dalton Cody
- Ashlee Coleman
- Amy L. Coopersmith
- Susan E Crane
- Erin Stewart Crimmins
- Nancy Hutt Culver
- Klara Dandrea
- Bethany Ann Danner
- Christopher Manly Deck
- Delta Health Group Inc
All providers in Bunnell, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.