Active NPI
Janice Louise Robinson, LCSW
- Clinical Social Worker
- Rathdrum, ID
National Provider Identifier
1699101915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 32369
- Practice address
- 14954 N Coeur Dalene St
Rathdrum, ID 83858-6484 - Phone
- (208) 687-0538
- Fax
- (208) 687-3185
- NPI assigned
- Sep 18, 2013
- Last updated
- Sep 18, 2013
- 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 | LCSW 32369 | ID | Primary |
Addresses
Primary practice location
14954 N Coeur Dalene St
Rathdrum, ID 83858-6484
Mailing address
14954 N Coeur Dalene St
Rathdrum, ID 83858-6484
Phone (208) 687-0538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Medicaid | ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 32369 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rathdrum Counseling Center, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Rathdrum, ID
- NPI 1083152144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1699101915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14954 N COEUR DALENE ST",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838586484",
"telephone_number": "208-687-0538",
"fax_number": "208-687-3185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14954 N COEUR DALENE ST",
"city": "RATHDRUM",
"state": "ID",
"postal_code": "838586484",
"telephone_number": "208-687-0538",
"fax_number": "208-687-3185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JANICE",
"middle_name": "LOUISE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW 32369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rathdrum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.