Individual provider Active NPI

Robert Steven Pinkus, LCSW-C

  • Clinical Social Worker
  • Bel Air, MD
National Provider Identifier
1710078605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
01936 Issued in MD
Practice address
2107 Laurel Bush Rd Ste 207
Bel Air, MD 21015-5203
Phone
(410) 515-6984
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01936 MD Primary

Addresses

Primary practice location

2107 Laurel Bush Rd Ste 207
Bel Air, MD 21015-5203

Mailing address

PO Box 69
Bel Air, MD 21014-0069
Phone (410) 515-6984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20060421000524 MD Practitioner - Clinical Social Worker 8426068362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitesell and Associates IncGroup PAC ID 4385911247, 6 clinicians

Practice addresses (Care Compare)

900 A S Main St
Suite 105
Bel Air, MD 21014-5438
Phone (410) 914-4012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01936MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whitesell and Associates, Inc CurrentSince Sep 21, 2024 Accepting new patients
The Eagles Nest Family and Children Services LLC PastSince Sep 21, 2024 Accepting new patients

Locations

900A S Main St
Unit 105
Bel Air, MD 21014
Phone (410) 914-4012

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710078605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210140069",
            "telephone_number": "410-515-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 LAUREL BUSH RD STE 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155203",
            "telephone_number": "410-515-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKUS",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "01936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.