Active NPI
Robin Genovese
- Social Worker
- Lompoc, CA
National Provider Identifier
1730871922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114916
- Practice address
- 401 E Cypress Ave
Lompoc, CA 93436-6806 - Phone
- (805) 737-6690
- NPI assigned
- May 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 114916 | CA | Primary |
Addresses
Primary practice location
401 E Cypress Ave
Lompoc, CA 93436-6806
Mailing address
6606 Seville Ave
Huntington Park, CA 90255-7765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
673 S Auburn St
Suite B
Grass Valley, CA 95945-7576
673 S Auburn St B
Grass Valley, CA 95945-7576
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114916 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Family Therapy Centers, Inc. | Current | Accepting new patients |
Locations
673 S Auburn St
Ste B
Grass Valley, CA 95945
Phone (530) 913-5054
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.
-
- Marriage & Family Therapist
- Grass Valley, CA
- NPI 1336648385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1730871922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6606 SEVILLE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902557765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E CYPRESS AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934366806",
"telephone_number": "805-737-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENOVESE",
"first_name": "ROBIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "114916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.