Individual provider Active NPI

Robin J Carlock, LSW

  • Social Worker
  • Freehold, NJ
National Provider Identifier
1699344366
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06565000 Issued in NJ
Practice address
2 Monmouth Ave
Freehold, NJ 07728-1970
Phone
(732) 308-0113
Fax
(732) 308-0115
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06565000 NJ Primary

Addresses

Primary practice location

2 Monmouth Ave
Freehold, NJ 07728-1970

Mailing address

6 Serendipity Dr
Jackson, NJ 08527-4362
Phone (848) 207-0684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230204000518 NJ Practitioner - Clinical Social Worker 1951773704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443
Phone (732) 852-4977

65 Mechanic St
Suite 203
Red Bank, NJ 07701-1852
Phone (732) 606-4469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06565000NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brownstone Center for Wellness, LLC CurrentSince May 29, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Jan 22, 2023 Accepting new patients
New Hope Integrated Behavioral Health Care, Inc PastSince Jun 22, 2021 Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

900 12th St
Ste A3
Hammonton, NJ 08037
Phone (609) 833-1644

331 Tilton Rd
Ste 28
Northfield, NJ 08225
Phone (609) 646-1270

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1699344366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SERENDIPITY DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274362",
            "telephone_number": "848-207-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MONMOUTH AVE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281970",
            "telephone_number": "732-308-0113",
            "fax_number": "732-308-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOCK",
        "first_name": "ROBIN",
        "middle_name": "J",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06565000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.