Individual provider Active NPI

Robin R Bauer, MSW, LCSW

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1659575801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6554 Issued in FL
Practice address
9040 Town Center Pkwy
Suite 204
Bradenton, FL 34202-4101
Phone
(941) 552-1277
Fax
(941) 926-4562
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW6554 FL Primary

Addresses

Primary practice location

9040 Town Center Pkwy
Suite 204
Bradenton, FL 34202-4101

Mailing address

9040 Town Center Pkwy
Suite 204
Bradenton, FL 34202-4101
Phone (941) 552-1277

Other identifiers 1

IdentifierTypeStateIssuer
SW6554OtherFLLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081204000420 FL Practitioner - Clinical Social Worker 6002830122 Practice locations: Lakewood Ranch, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9040 Town Ctr Pkwy
Lakewood Ranch, FL 34202-4101
Phone (941) 552-1277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
935NHMDMental Health Counselor
SW6554FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659575801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 TOWN CENTER PKWY",
            "address_2": "SUITE 204",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342024101",
            "telephone_number": "941-552-1277",
            "fax_number": "941-926-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 TOWN CENTER PKWY",
            "address_2": "SUITE 204",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342024101",
            "telephone_number": "941-552-1277",
            "fax_number": "941-926-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "ROBIN",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SW6554",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.