Individual provider Active NPI

Albert M Robinson, LMSW

  • Social Worker
  • St. Albans, NY
National Provider Identifier
1720245764
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
094217-1 Issued in NY
Practice address
17800 Linden Blvd
E Wing 2ND Floor Room 231
St. Albans, NY 11425-0000
Phone
(718) 526-1000
Fax
(718) 298-8529
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 094217-1 NY Primary

Addresses

Primary practice location

17800 Linden Blvd
E Wing 2ND Floor Room 231
St. Albans, NY 11425-0000

Mailing address

178-00 Linden Blvd
E Wing Room 231
St. Albans, NY 11425
Phone (718) 526-1000

Other identifiers 1

IdentifierTypeStateIssuer
00244019MedicaidNY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
094217-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1720245764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178-00 LINDEN BLVD",
            "address_2": "E WING ROOM 231",
            "city": "ST. ALBANS",
            "state": "NY",
            "postal_code": "11425",
            "telephone_number": "718-526-1000",
            "fax_number": "718-298-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 LINDEN BLVD",
            "address_2": "E WING 2ND FLOOR ROOM 231",
            "city": "ST. ALBANS",
            "state": "NY",
            "postal_code": "114250000",
            "telephone_number": "718-526-1000",
            "fax_number": "718-298-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ALBERT",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094217-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.