Kellie Kristina Robison, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27813 Issued in ID

Practice address

3100 NW Bucklin Hill Rd Ste 246
Silverdale, WA 98383

Phone

(208) 841-8559

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mountain View Mental Health

  • Mental Health Counselor
  • Silverdale, WA
  • NPI 1124567177
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1760602155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4074",
            "city": "SOUTH COLBY",
            "state": "WA",
            "postal_code": "983840074",
            "telephone_number": "208-841-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 246",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "208-841-8559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 NW Bucklin Hill Rd Ste 246",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "98383",
            "country_code": "US",
            "telephone_number": "208-841-8559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "KELLIE",
        "middle_name": "KRISTINA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "27813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Riley, DPT
• Kaitlin Rink, AUD
• Robert John Ripps, SUBMARINE IDC
• Jared Emerson Roberts, DDS
• Rebecca Roberts
• Rachael Christine Roche
• Judy Darlene Roda
• Franklin Antonio Rodriguez Mendoza
• Julie Rogers, LW61117231
• Sherri Barnette Rogers, HIS

• Clinical Social Worker in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.