Active NPI
Robin L Patrick
- Social Worker
- Valley Stream, NY
National Provider Identifier
1487369013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1626 Putney Rd
Valley Stream, NY 11580-1818 - Phone
- (718) 618-5075
- Fax
- (929) 900-1522
- NPI assigned
- Jan 18, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1626 Putney Rd
Valley Stream, NY 11580-1818
Mailing address
36 Kenilworth PL Apt 1E
Brooklyn, NY 11210-2311
Phone (646) 740-7035
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1487369013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 KENILWORTH PL APT 1E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112102311",
"telephone_number": "646-740-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 PUTNEY RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801818",
"telephone_number": "718-618-5075",
"fax_number": "929-900-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "ROBIN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.