Individual provider Active NPI

Ann Gustafson Robinson, LSWAIC

  • Clinical Social Worker
  • Redmond, WA
National Provider Identifier
1578166385
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61661967 Issued in WA
Practice address
16150 NE 85TH St Ste 220
Redmond, WA 98052-3546
Phone
(425) 558-0558
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61101956 WA
Clinical Social Worker 1041C0700X LW61661967 WA Primary

Addresses

Primary practice location

16150 NE 85TH St Ste 220
Redmond, WA 98052-3546

Mailing address

19916 Old Owen Rd # 346
Monroe, WA 98272-9778
Phone (425) 344-1676

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

LicenseStateTypeSpecialty
LW61661967WAMDClinical Social Worker
SC61101956WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandbox Therapy Group, Inc. Clinical CurrentSince Aug 28, 2022 Accepting new patients

Locations

16150 NE 85th St
Ste 220
Redmond, WA 98052
Phone (425) 558-0558

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1578166385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19916 OLD OWEN RD # 346",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729778",
            "telephone_number": "425-344-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 220",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523546",
            "telephone_number": "425-558-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ANN",
        "middle_name": "GUSTAFSON",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61101956",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61661967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.