Individual provider Active NPI

Charles Barrae Robinson, MSW

  • Clinical Social Worker
  • Ft. Hood, TX
National Provider Identifier
1659325405
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC302271 Issued in DC
Practice address
BLDG. 36065, Santa Fe Ave.
Carl R. Darne;; Army Med Center, Behavioral Health/Fap
Ft. Hood, TX 76544-4752
Phone
(254) 553-1024
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC302271 DC Primary
Clinical Social Worker 1041C0700X 0904003604 VA

Addresses

Primary practice location

BLDG. 36065, Santa Fe Ave.
Carl R. Darne;; Army Med Center, Behavioral Health/Fap
Ft. Hood, TX 76544-4752

Mailing address

1902 Walker Place
Copperas Cove, TX 76522
Phone (254) 243-6449

Other identifiers 3

IdentifierTypeStateIssuer
LC302271OtherDCLC302271 SOCIAL WORK IND CLINICAL SOCIAL WORKER
885121111OtherDCNATIONAL ASSOCIATION OF SOC. WORKERS: ACSW, DCSW, QCSW
0904003604OtherVA0904003604 LICENSED CLINICAL SOCIAL WORKER

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
LC302271DCMDClinical Social Worker
0904003604VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1659325405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WALKER PLACE",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "76522",
            "telephone_number": "254-243-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG. 36065, SANTA FE AVE.",
            "address_2": "CARL R. DARNE;; ARMY MED CENTER, BEHAVIORAL HEALTH/FAP",
            "city": "FT. HOOD",
            "state": "TX",
            "postal_code": "765444752",
            "telephone_number": "254-553-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CHARLES",
        "middle_name": "BARRAE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC302271",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LC302271  SOCIAL WORK  IND CLINICAL SOCIAL WORKER",
            "identifier": "LC302271",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF SOC. WORKERS:  ACSW, DCSW, QCSW",
            "identifier": "885121111",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0904003604  LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "0904003604",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft. Hood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.