Individual provider Active NPI

Stephanie Isaacs Robins, LCSW

  • Clinical Social Worker
  • Woodstock, GA
National Provider Identifier
1720171390
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003104 Issued in GA
Practice address
3207 S Cherokee LN
Suite 440
Woodstock, GA 30188-7024
Phone
(404) 849-5505
Fax
(770) 726-9555
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 CSW003104 GA Primary

Addresses

Primary practice location

3207 S Cherokee LN
Suite 440
Woodstock, GA 30188-7024

Mailing address

4651 Woodstock Rd
Suite 208-265
Roswell, GA 30075-1698
Phone (404) 849-5505

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

State licenses

LicenseStateTypeSpecialty
CSW003104GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robins Family Therapy LLC CurrentSince Jan 2, 2013 Accepting new patients

Locations

4651 Woodstock Rd
Ste 208265
Roswell, GA 30075

3207 S Cherokee Ln
Ste 440
Woodstock, GA 30188
Phone (404) 849-5505

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720171390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 WOODSTOCK RD",
            "address_2": "SUITE 208-265",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751698",
            "telephone_number": "404-849-5505",
            "fax_number": "770-726-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 S CHEROKEE LN",
            "address_2": "SUITE 440",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887024",
            "telephone_number": "404-849-5505",
            "fax_number": "770-726-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "STEPHANIE",
        "middle_name": "ISAACS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.