Robineta Jovonne Montelina Blackston, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P009480 Issued in NC

Practice address

1420A S Pollock St
Selma, NC 27576-3404

Phone

(919) 351-0428

Fax

(919) 351-0814

NPI assigned

Oct 31, 2015

Last updated

Oct 31, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Port Health Services

  • Community/Behavioral Health Agency
  • Rocky Mount, NC
  • NPI 1306315924
  NPD
• Port Health Services

  • Counselor
  • Greenville, NC
  • NPI 1497075618
  NPD
• Pathways to Life, Inc

  • Community/Behavioral Health Agency
  • Selma, NC
  • NPI 1114331147
  NPD (past)

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

{
    "created_epoch": "1446249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446249600000",
    "number": "1568835403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 TUSKEEGEE ST SE",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278936490",
            "telephone_number": "252-292-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420A S POLLOCK ST",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275763404",
            "telephone_number": "919-351-0428",
            "fax_number": "919-351-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTON",
        "first_name": "ROBINETA",
        "middle_name": "JOVONNE MONTELINA",
        "name_prefix": "Ms.",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-31",
        "last_updated": "2015-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Patrick Barbaro, D.D.S.
• Justin Richard Barbaro, D.D.S.
• Thanina Belaid, DMD
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Kidney Care East Johnston)
• BJ's Wholesale Club Inc.
• Tang Blanton, DDS
• Elizabeth Huff Botner, ED.D., LPC, NCC
• Bridge to Tomorrow LLC.
• Brio Wellness PLLC
• Judith Batamuliza Bushaija, MSW LCSWA

• Clinical Social Worker in Selma, NC
• Providers in Selma, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.