Mary Robyn Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016564 Issued in NC

Practice address

1520 Aragon Dr Apt 104
Knightdale, NC 27545-6023

Phone

(631) 384-1713

NPI assigned

May 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NC2 enrollments

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 2

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, NC, NY

  Medicare reassignment NPD
• Hart to Heart Clinical Counseling Services LCSW PC

  • Clinical Social Worker
  • South Setauket, NY
  • NPI 1801564182
  Medicare reassignment NPD
• Psychotherapy at Home, LCSW, PLLC

  • Clinical Social Worker
  • Islip Terrace, NY
  • NPI 1255898342
  Medicare reassignment NPD
• MRH Counseling and Behavioral Health Services PLLC

  • Clinical Social Worker
  • Knightdale, NC
  • NPI 1356153761
  NPD Authorized official

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1629635537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 ARAGON DR APT 104",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456023",
            "telephone_number": "631-384-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 ARAGON DR APT 104",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456023",
            "telephone_number": "631-384-1713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Furrow Rd",
            "address_purpose": "LOCATION",
            "city": "Holbrook",
            "state": "NY",
            "postal_code": "11741",
            "country_code": "US",
            "telephone_number": "631-645-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "ROBYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016564",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kisha Lashelle Gwyn
• Lindsey C. Hack, PT
• Tonya Hadley
• Hair by Kola LLC
• Dawn Chandrell Hall
• Philip Scorza Hall, M.D.
• John J. Halpin, PA-C
• Susan Chambers Hamilton, CPNP-PC
• Anthony Wayne Hamm, DC
• Hand & Heart Homecare Agency LLC

• Clinical Social Worker in Knightdale, NC
• Providers in Knightdale, 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 Jun 28, 2024; 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.