Individual provider Active NPI

Linda Robinson, LCSW

  • Clinical Social Worker
  • Astoria, OR
National Provider Identifier
1750406484
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L2681 Issued in OR
Practice address
2120 Exchange St Ste 301
Astoria, OR 97103-3364
Phone
(503) 325-0241
Fax
(503) 861-2043
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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 L2681 OR Primary

Addresses

Primary practice location

2120 Exchange St Ste 301
Astoria, OR 97103-3364

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 629-3865

Other names 1

  • Linda Kolokolo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 N Hwy 101
Suite 204
Warrenton, OR 97146-9371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clatsop Behavioral Healthcare CurrentSince Feb 10, 2019 Accepting new patients

Locations

2158 Exchange St
Ste 301
Astoria, OR 97103

115 W Bond St
Astoria, OR 97103
Phone 5033255722268

65 N Highway 101
Ste 204
Warrenton, OR 97146

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/clatsopbh/r4/

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1750406484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295442",
            "telephone_number": "503-629-3865",
            "fax_number": "503-533-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 301",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033364",
            "telephone_number": "503-325-0241",
            "fax_number": "503-861-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "KOLOKOLO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.