Individual provider Active NPI

Robyn Kaye Ashburn, LCSW

  • Social Worker
  • Tallahassee, FL
National Provider Identifier
1679829931
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433
Phone
(904) 303-5722
NPI assigned
Jul 24, 2012
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 SW 9923 FL
Social Worker 104100000X Primary

Addresses

Primary practice location

1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433

Mailing address

815 Beard St
Tallahassee, FL 32303-6412
Phone (904) 303-5722

Other practice location 1

6261 DuPont Station Ct E
Jacksonville, FL 32217-2567
Phone (904) 448-1933

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
SW 9923FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Developing Minds LLC Current Accepting new patients
The LJD Jewish Family & Community Services, Inc Past Accepting new patients

Locations

1801 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone (850) 921-0330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1679829931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BEARD ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036412",
            "telephone_number": "904-303-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MICCOSUKEE COMMONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085433",
            "telephone_number": "904-303-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6261 DuPont Station Ct E",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172567",
            "country_code": "US",
            "telephone_number": "904-448-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHBURN",
        "first_name": "ROBYN",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9923",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.