Active NPI
Judy Red Robison, LCSW, LMFT
- Clinical Social Worker
- Mandeville, LA
National Provider Identifier
1477627099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4714
- Practice address
- 1800 W Causeway Approach
Suite 106
Mandeville, LA 70471-2971 - Phone
- (985) 807-3128
- Fax
- (985) 626-0042
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4714 | LA | Primary |
Addresses
Primary practice location
1800 W Causeway Approach
Suite 106
Mandeville, LA 70471-2971
Mailing address
101 Windsor Dr
Mandeville, LA 70471-7240
Phone (985) 624-3978
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4714 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1477627099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WINDSOR DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704717240",
"telephone_number": "985-624-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W CAUSEWAY APPROACH",
"address_2": "SUITE 106",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704712971",
"telephone_number": "985-807-3128",
"fax_number": "985-626-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "JUDY",
"middle_name": "RED",
"name_prefix": "Mrs.",
"credential": "LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "4714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.