Active NPI
Shanna Robinson, PHD SW
- Social Worker
- Fairborn, OH
National Provider Identifier
1588160147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1750 Commerce Center Blvd
Fairborn, OH 45324-6333 - Phone
- (937) 878-8444
- NPI assigned
- Apr 3, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| School Social Worker | 1041S0200X | |||
| Behavior Technician | 106S00000X | |||
| Social Worker | 104100000X | OH | Primary |
Addresses
Primary practice location
1750 Commerce Center Blvd
Fairborn, OH 45324-6333
Mailing address
1750 Commerce Center Blvd
Fairborn, OH 45324-6333
Phone (937) 878-8444
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1588160147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 COMMERCE CENTER BLVD",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453246333",
"telephone_number": "937-878-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 COMMERCE CENTER BLVD",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453246333",
"telephone_number": "937-878-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "SHANNA",
"credential": "PHD SW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.