Individual provider Active NPI

Robin H. Hornstra, LCSW

  • Clinical Social Worker
  • Mechanicsville, VA
National Provider Identifier
1700978673
Registry record updated Feb 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003208 Issued in VA
Practice address
7459 Old Hickory Dr
#105
Mechanicsville, VA 23111-3631
Phone
(804) 244-0700
Fax
(844) 658-9554
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2017

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 0904003208 VA Primary

Addresses

Primary practice location

7459 Old Hickory Dr
#105
Mechanicsville, VA 23111-3631

Mailing address

7459 Old Hickory Dr
Suite 105
Mechanicsville, VA 23111-3631
Phone (804) 244-0700

Other identifiers 2

IdentifierTypeStateIssuer
1140858653MedicaidVA
140782OtherVAANTHEM PROVIDER NUMBER

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

Practice roles

OrganizationSpecialtyStatusNew patients
Not Just Play, LLC Current Accepting new patients
Hanover County Board of Supervisors Past Accepting new patients
Hanover County Board of Supervisors Past Accepting new patients
Wellness Group Youth & Family Services, Inc. PastSince Oct 17, 2012 Accepting new patients

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488067200000",
    "number": "1700978673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 OLD HICKORY DR",
            "address_2": "SUITE 105",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113631",
            "telephone_number": "804-244-0700",
            "fax_number": "844-658-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7459 OLD HICKORY DR",
            "address_2": "#105",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113631",
            "telephone_number": "804-244-0700",
            "fax_number": "844-658-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSTRA",
        "first_name": "ROBIN",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2017-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140858653",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "140782",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; 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.