Robin Lynn Bourland, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005030693 Issued in MO

Practice address

803 E South St
Albany, MO 64402-1457

Phone

(660) 726-5756

NPI assigned

Apr 20, 2007

Last updated

Jan 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1649498304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E SOUTH ST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644021457",
            "telephone_number": "660-726-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E SOUTH ST",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644021457",
            "telephone_number": "660-726-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURLAND",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005030693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497181602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Allen, APRN- FNP-BC
• Beacon Way
• Beacon Way 111
• Beacon Way II LLC
• Tiffany Bottcher
• Caring First Home LLC
• Caring First LLC
• Caring Hands LLC
• Case Ruckman DC PC (Albany Chiropractic Clinic)
• Michael Wayne Coleman, DO

• Clinical Social Worker in Albany, MO
• Providers in Albany, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.