Active NPI
Lisa Robb, LCSW
- Clinical Social Worker
- Daytona Beach, FL
National Provider Identifier
1477909265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102577
- Practice address
- 1500 Beville Rd Ste 606-180
Daytona Beach, FL 32114-5646 - Phone
- (845) 699-9040
- NPI assigned
- May 11, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 102577 | NY | Primary |
| Specialist | 174400000X | 725806132 | NY | |
| Early Intervention Provider Agency | 252Y00000X | 725806132 | NY | |
| Clinical Social Worker | 1041C0700X | 106520-1 | NY |
Addresses
Primary practice location
1500 Beville Rd Ste 606-180
Daytona Beach, FL 32114-5646
Mailing address
1500 Beville Rd Ste 606-180
Daytona Beach, FL 32114-5646
Phone (845) 699-9040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477909265 | Medicaid | NY |
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 |
|---|---|---|---|
| 102577 | NY | MD | Social Worker |
| 106520-1 | NY | MD | Clinical Social Worker |
| 725806132 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1477909265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 BEVILLE RD STE 606-180",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321145646",
"telephone_number": "845-699-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 BEVILLE RD STE 606-180",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321145646",
"telephone_number": "845-699-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBB",
"first_name": "LISA",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "102577",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "725806132",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "725806132",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "106520-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477909265",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.