Individual provider Active NPI

Susan Robinson, LCSW

  • Clinical Social Worker
  • Mount Laurel, NJ
National Provider Identifier
1639284037
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
32549 Issued in TX
Practice address
338 Thornwood Dr
Mount Laurel, NJ 08054-1813
Phone
(281) 658-7988
Fax
(281) 419-0879
NPI assigned
Aug 19, 2006
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 32549 TX Primary

Addresses

Primary practice location

338 Thornwood Dr
Mount Laurel, NJ 08054-1813

Mailing address

338 Thornwood Dr
Mount Laurel, NJ 08054-1813
Phone (281) 658-7988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20241126001654 NJ Practitioner - Clinical Social Worker 4385698109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

338 Thornwood Dr
Mount Laurel, NJ 08054-1813
Phone (281) 658-7988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32549TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paula McDonald-Neely, LCSW, PLLC Clinical Past Accepting new patients

Organizations & group practices 2

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1639284037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 THORNWOOD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541813",
            "telephone_number": "281-658-7988",
            "fax_number": "281-419-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 THORNWOOD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541813",
            "telephone_number": "281-658-7988",
            "fax_number": "281-419-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.