Individual provider Active NPI

Veronica Marie Robdau, LICSW

  • Clinical Social Worker
  • Beaufort, SC
National Provider Identifier
1649244013
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1019348 Issued in MA
Practice address
134 Suite C Lady'S Island Drive
Beaufort, SC 29907
Phone
(508) 688-2912
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 1019348 MA Primary

Addresses

Primary practice location

134 Suite C Lady'S Island Drive
Beaufort, SC 29907

Mailing address

2 Royal Pines Blvd
Beaufort, SC 29907-1961
Phone (508) 996-6684

Other identifiers 3

IdentifierTypeStateIssuer
1851667MedicaidMA
173727000OtherMAGELLAN EAP
P05597OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20141104002342 SC Practitioner - Clinical Social Worker 6709819089 Practice locations: Beaufort, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1019348MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatry LLC Clinical Past Accepting new patients
Linda M Palmer, Aprn, BC, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1649244013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROYAL PINES BLVD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071961",
            "telephone_number": "508-996-6684",
            "fax_number": "508-990-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SUITE C LADY'S ISLAND DRIVE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "508-688-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBDAU",
        "first_name": "VERONICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851667",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN EAP",
            "identifier": "173727000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P05597",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.