Latanya Bispham-Robinson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

080960-1 Issued in NY

Practice address

100 Wilbur St
Rochester, NY 14611-2826

Phone

(718) 801-6479

NPI assigned

Dec 15, 2014

Last updated

Dec 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Latanya Bispham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1508264003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILBUR ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146112826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILBUR ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146112826",
            "telephone_number": "718-801-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISPHAM-ROBINSON",
        "first_name": "LATANYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "080960-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATANYA",
            "last_name": "BISPHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Bishop, LCSW
• Patricia Terney Bishop, AU.D.
• Sarah Bishop, MHC-P
• Thomas Bishop, PT
• Tricia Bishop, PA-C
• Alexander Bissell, MS
• Diksha Biswa
• Abdallah Youssef Bitar, MD/PHD
• Lori J Bithorn
• Alicia K Bittner, PA-C

• Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.