Individual provider Active NPI

Robert Allan Liebman, L.C.S.W.

  • Clinical Social Worker
  • Weaverville, NC
National Provider Identifier
1518106434
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010618 Issued in NC
Practice address
105 Pink Fox Cove Rd
Weaverville, NC 28787-8814
Phone
(503) 343-9790
NPI assigned
Feb 17, 2009
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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 C010618 NC Primary

Addresses

Primary practice location

105 Pink Fox Cove Rd
Weaverville, NC 28787-8814

Mailing address

105 Pink Fox Cove Rd
Weaverville, NC 28787-8814
Phone (503) 343-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20201201001259 NC Practitioner - Clinical Social Worker 1658613104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liebman Psychotherapy, PCGroup PAC ID 9739418278, 2 clinicians

Practice addresses (Care Compare)

105 Pink Fox Cove Rd
Weaverville, NC 28787-8814
Phone (828) 544-0438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C010618NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liebman Psychotherapy, PC Clinical CurrentSince Nov 8, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1518106434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINK FOX COVE RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878814",
            "telephone_number": "503-343-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PINK FOX COVE RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878814",
            "telephone_number": "503-343-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBMAN",
        "first_name": "ROBERT",
        "middle_name": "ALLAN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

Verify at the official NPI Registry.