Individual provider Active NPI

Robert Levin, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1477643757
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073010 Issued in NY
Practice address
15 W 28TH St Ste 6F
New York, NY 10001-6410
Phone
(347) 277-7735
NPI assigned
Oct 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 073010 NY Primary

Addresses

Primary practice location

15 W 28TH St Ste 6F
New York, NY 10001-6410

Mailing address

77 Gold St Ste 2
Brooklyn, NY 11201-1228
Phone (212) 479-7373

Other practice location 1

263 Cumberland St Apt 4
Brooklyn, NY 11205-4692
Phone (212) 479-7373

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
I20110301000363 NY Practitioner - Clinical Social Worker 1850572520 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073010NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Levin, Licensed Clinical Social Work PC Clinical CurrentSince Nov 5, 2023 Accepting new patients
Tried and True Nutrition, Inc. PastSince Jul 1, 2015 Accepting new patients

Locations

15 W 28th St
Ste 6F
New York, NY 10001
Phone (347) 277-7735

Organizations & group practices 2

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": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1477643757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOLD ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011228",
            "telephone_number": "212-479-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 28TH ST STE 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016410",
            "telephone_number": "347-277-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Cumberland St Apt 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112054692",
            "country_code": "US",
            "telephone_number": "212-479-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.