Individual provider Active NPI

Robyn Renee Tennyson, LCSW

  • Clinical Social Worker
  • Glendale, AZ
National Provider Identifier
1639163496
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-10137 Issued in AZ
Practice address
18185 N 83Rd Ave
Suite D-201
Glendale, AZ 85308-0516
Phone
(800) 626-1129
Fax
(866) 714-4031
NPI assigned
Sep 8, 2005
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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 LCSW-10137 AZ Primary

Addresses

Primary practice location

18185 N 83Rd Ave
Suite D-201
Glendale, AZ 85308-0516

Mailing address

29599 N 69TH Dr
Peoria, AZ 85383-3177
Phone (602) 647-2783

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
LCSW-10137AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
En Pointe Counseling LLC Current Accepting new patients

Locations

3420 E Shea Blvd
Ste 200
Phoenix, AZ 85028
Phone (520) 485-8846

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, 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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1639163496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29599 N 69TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833177",
            "telephone_number": "602-647-2783",
            "fax_number": "866-714-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18185 N 83RD AVE",
            "address_2": "SUITE D-201",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080516",
            "telephone_number": "800-626-1129",
            "fax_number": "866-714-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "ROBYN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-10137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.