Individual provider Active NPI

Robin Weiner O'Donnell, LCSW

  • Clinical Social Worker
  • Bishop, GA
National Provider Identifier
1619551561
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007548 Issued in GA
Practice address
1467 Charlottes Walk
Bishop, GA 30621-1567
Phone
(706) 546-6733
NPI assigned
May 7, 2021
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 CSW007548 GA Primary

Addresses

Primary practice location

1467 Charlottes Walk
Bishop, GA 30621-1567

Mailing address

1467 Charlottes Walk
Bishop, GA 30621-1567
Phone (706) 546-6733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260408000870 GA Practitioner - Clinical Social Worker 5991270845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW007548GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Therapy, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

3651 Mars Hill Rd
Ste 1500
Watkinsville, GA 30677

Organizations & group practices 3

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1619551561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 CHARLOTTES WALK",
            "city": "BISHOP",
            "state": "GA",
            "postal_code": "306211567",
            "telephone_number": "706-546-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 CHARLOTTES WALK",
            "city": "BISHOP",
            "state": "GA",
            "postal_code": "306211567",
            "telephone_number": "706-546-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "ROBIN",
        "middle_name": "WEINER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, GA

Sources for this page

Verify at the official NPI Registry.