Individual provider Active NPI

Jill M Robinson, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1679173181
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10399 Issued in AZ
Practice address
8804 N. 23Rd Ave
BLDG. a Ste. A01-A02
Phoenix, AZ 85021
Phone
(602) 685-6000
Fax
(602) 216-7040
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 10399 AZ Primary

Addresses

Primary practice location

8804 N. 23Rd Ave
BLDG. a Ste. A01-A02
Phoenix, AZ 85021

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Other practice location 1

8804 N 23rd Ave Bldg A
Phoenix, AZ 85021-4160
Phone (602) 685-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20201030000586 AZ Practitioner - Clinical Social Worker 9234549312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10399AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Terros, Inc. Current Accepting new patients
Terros, Inc. PastSince Jun 1, 2022 Accepting new patients
Terros, Inc. Past Accepting new patients

Locations

8804 N 23rd Ave
Ste A1
Phoenix, AZ 85021

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

Organizations & group practices 3

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1679173181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 N. 23RD AVE",
            "address_2": "BLDG. A STE. A01-A02",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "602-685-6000",
            "fax_number": "602-216-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8804 N 23rd Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850214160",
            "country_code": "US",
            "telephone_number": "602-685-6000",
            "fax_number": "602-216-7040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "10399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.