Organization Active NPI

Robin Rooth-Fogel, LCSW, LLC

  • Clinical Social Worker
  • Coopersburg, PA
National Provider Identifier
1679113575
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROBIN ROOTH-FOGEL, LCSW, LLC
Practice address
202 S. Third Street
Suite 1
Coopersburg, PA 18036
Phone
(610) 282-2015
Fax
(610) 282-2024
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Robin Janel Rooth-Fogel, LCSWNPI 1730299751
Title
Licensed Clinical Social Worker
Phone
(610) 282-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

202 S. Third Street
Suite 1
Coopersburg, PA 18036

Mailing address

202 S. Third Street
Suite 1
Coopersburg, PA 18036
Phone (610) 282-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200608001538 PA Part B Supplier - Clinic/Group Practice 0345661930 Receives reassigned benefits from 1 practitioner
Practice locations: Coopersburg, PA

National Provider Directory

National Provider Directory

Locations

202 S 3rd St
Ste 1
Coopersburg, PA 18036
Phone (610) 282-2015

344 S 3rd St
Ste 2
Coopersburg, PA 18036
Phone (610) 282-2015

344 S 3rd St
Ste E
Coopersburg, PA 18036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1679113575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S. THIRD STREET",
            "address_2": "SUITE 1",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "18036",
            "telephone_number": "610-282-2015",
            "fax_number": "610-282-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S. THIRD STREET",
            "address_2": "SUITE 1",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "18036",
            "telephone_number": "610-282-2015",
            "fax_number": "610-282-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN ROOTH-FOGEL, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "ROOTH-FOGEL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "JANEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "610-282-2015",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.