Individual provider Active NPI

Michelle Charlene Robbins, LCSW

  • Clinical Social Worker
  • Maple Shade, NJ
National Provider Identifier
1750940441
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05868900 Issued in NJ
Practice address
123 Thomas Ave
Maple Shade, NJ 08052-3236
Phone
(732) 770-0369
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06240400 NJ
Clinical Social Worker 1041C0700X 44SC05868900 NJ Primary

Addresses

Primary practice location

123 Thomas Ave
Maple Shade, NJ 08052-3236

Mailing address

123 Thomas Ave
Maple Shade, NJ 08052-3236
Phone (732) 770-0369

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
44SL06240400NJMDSocial Worker
44SC05868900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart 2 Heart Services Inc CurrentSince May 25, 2021 Accepting new patients

Locations

130 W White Horse Pike
Ste 1B
Berlin, NJ 08009
Phone (856) 352-5424

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1750940441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 THOMAS AVE",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523236",
            "telephone_number": "732-770-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 THOMAS AVE",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080523236",
            "telephone_number": "732-770-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "MICHELLE",
        "middle_name": "CHARLENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06240400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05868900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.