Individual provider Active NPI

Lisa Miranda Munro-Robinson, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1720128689
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095069 Issued in NY
Practice address
1310 Rockaway Pkwy
Brooklyn, NY 11236-2339
Phone
(718) 272-3300
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 095069 NY Primary

Addresses

Primary practice location

1310 Rockaway Pkwy
Brooklyn, NY 11236-2339

Mailing address

334 New York Ave
Brooklyn, NY 11213-4221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250220001796 NY Practitioner - Clinical Social Worker 4284154253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095069NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Dec 8, 2024 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients

Locations

191 Joralemon St
Brooklyn, NY 11201
Phone (718) 722-6000

191 Joralemon St
Fl 11
Brooklyn, NY 11201

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1720128689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112134221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112362339",
            "telephone_number": "718-272-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNRO-ROBINSON",
        "first_name": "LISA",
        "middle_name": "MIRANDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.