Individual provider Active NPI

Robin McDougall, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1629244876
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 0004540 Issued in FL
Practice address
847 E Park Ave
Tallahassee, FL 32301-2620
Phone
(850) 212-0760
Fax
(866) 648-4048
NPI assigned
May 7, 2008
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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 SW 0004540 FL Primary

Addresses

Primary practice location

847 E Park Ave
Tallahassee, FL 32301-2620

Mailing address

847 E Park Ave
Tallahassee, FL 32301-2620
Phone (850) 212-0760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081128000044 FL Practitioner - Clinical Social Worker 0042370686 Practice locations: Tallahassee, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1105 Hays St
Tallahassee, FL 32301-2631
Phone (850) 212-0760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 0004540FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1629244876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 E PARK AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012620",
            "telephone_number": "850-212-0760",
            "fax_number": "866-648-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 E PARK AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012620",
            "telephone_number": "850-212-0760",
            "fax_number": "866-648-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "ROBIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 0004540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.