Active NPI
Robin E Neville, MSW
- Clinical Social Worker
- Fremont, CA
National Provider Identifier
1689097057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015149
- Practice address
- 3607 Main St # B
Fremont, CA 94538-4390 - Phone
- (510) 270-1200
- Fax
- (510) 249-9623
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149015149 | IL | Primary |
Addresses
Primary practice location
3607 Main St # B
Fremont, CA 94538-4390
Mailing address
3607 Main St # B
Fremont, CA 94538-4390
Phone (510) 270-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149015149 | Other | IL | LCSW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015149 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1689097057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 MAIN ST # B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945384390",
"telephone_number": "510-270-1200",
"fax_number": "510-249-9623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3607 MAIN ST # B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945384390",
"telephone_number": "510-270-1200",
"fax_number": "510-249-9623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILLE",
"first_name": "ROBIN",
"middle_name": "E",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "149015149",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4141 Geary Blvd",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941183109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.